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

Vein Milking technique can be used
Dilated Abdominal ... anterior chest wall & abdominal ... physicalexam #diagnosis #hepatology ... #cirrhosis #obstruction ... #comparison #abdominal
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 ... or secondary to cirrhosis ... , Abdominal trauma ... diagnosis #causes #hepatology
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Flow of Dilated Abdominal ... of seizures & cirrhosis ... and below the umbilicus ... AWAY from the umbilicus ... this pt does have cirrhosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... , Distributive Shock ... Artery Stenosis, Abdominal ... Post-Renal: • Obstruction ... nephrology #causes #algorithm
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
site of vascular obstruction ... 3) Sinusoidal: Cirrhosis ... due to sepsis (umbilical ... or secondary to cirrhosis ... , Abdominal trauma
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
away from the umbilicus ... PhysicalExam #Milking #abdominal ... direction #veins #cirrhosis ... #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
in 3 months • Cirrhosis ... 20% HAS) • No shock ... No structural kidney ... other cause of kidney ... HRSAKI #HRSNAKI #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
protein ≤ 2.5 g/dL: Cirrhosis ... syndrome, IVC obstruction ... , Sinusoidal obstruction ... albumin #gradient #hepatology ... differential #diagnosis #algorithm
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Differential Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... • Sinusoidal obstruction ... Inferior vena cava obstruction ... #Hepatology #causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute Kidney ... Differential Diagnosis Algorithm ... Acute Kidney Injury ... Hypotension • Shock ... Pigments Tubular Obstruction