28 results
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins: Umbilicus ... respecting the umbilical ... • IVC Obstruction ... • SVC Obstruction ... #Blood #Flow #physicalexam
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension Classification ... site of vascular obstruction ... Post-sinusoidal: Budd-Chiari syndrome ... due to sepsis (umbilical ... #Hypertension #Classification
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
and below the umbilicus ... AWAY from the umbilicus ... - IVC obstruction ... #Milking #SVC #syndrome ... #Video #Chest #PhysicalExam
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Kidney Injury - Classification ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... requires bilateral obstruction ... Kidney #Injury #Classification
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Hepatic sinusoidal obstructive ... syndrome • Capillary ... leak syndrome ( ... bladder outlet obstruction ... Differential #Diagnosis #Classification
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
Superior Vena Cava Syndrome ... bypassing the SVC obstruction ... Superior #Vena #Cava #Syndrome ... #PhysicalExam #
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... due to sepsis (umbilical ... post-sinusoidal: Budd-Chiari syndrome
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of ... Crigler-Najjar syndrome ... , Rotor syndrome ... toxins) • Biliary Obstruction ... #Jaundice #Classification
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
- Budd Chiari Syndrome ... Intestinal Pseudo-Obstruction ... Complications #pathophysiology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diabetes - Post-obstructive ... renal Mg wasting syndromes ... - Gitelman syndrome ... - Hungry bones syndrome ... Magnesium #Table #Classification