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

Vein Milking technique can be used
Dilated Abdominal ... Vein Milking ... determine the cause ... physicalexam #diagnosis #hepatology ... #veins #milking
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
What is the cause ... and below the umbilicus ... AWAY from the umbilicus ... ptfaddenMD #Milking ... #SVC #syndrome
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
In this case the ... away from the umbilicus ... #PhysicalExam #Milking ... #abdominal #clinical ... veins #cirrhosis #hepatology
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 ... to cirrhosis, Abdominal ... post-sinusoidal: Budd-Chiari syndrome ... #hepatology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Distributive Shock ... Artery Stenosis, Abdominal ... Compartment Syndrome ... Post-Renal: • Obstruction ... #algorithm
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute ... , HELLP Syndrome ... Hepatic Artery: Shock ... #Acute #algorithm ... #hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Arrhythmia • Obstructive ... Severe auto-PEEP, Abdominal ... compartment syndrome ... #criticalcare #algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Vascular Causes ... Hepatic artery: Shock ... VZV • Trauma: Shock ... Intrahepatic - Obstruction ... #hepatology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
augment forward flow ... essentially Cardiogenic Shock ... acute coronary syndrome ... the determined cause ... #differential #algorithm