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

Vein Milking technique can be used
determine the cause ... Normal veins: Umbilicus ... • IVC Obstruction ... • SVC Obstruction ... diagnosis #hepatology #cirrhosis
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... Site of Vascular Obstruction ... due to sepsis (umbilical ... or secondary to cirrhosis ... , Polycystic liver
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 ... , Polycystic liver ... due to sepsis (umbilical ... or secondary to cirrhosis
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute ... Acute biliary obstruction ... Hepatic Artery: Shock ... Intrahepatic • Obstructive ... Differential #Diagnosis #Causes
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
of seizures & cirrhosis ... What is the cause ... and below the umbilicus ... AWAY from the umbilicus ... this pt does have cirrhosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
to non-cirrhotic ... hepatic outflow obstruction ... Post-Hepatic: • Cardiac causes ... sarcoidosis) • Liver ... metastasis • Fatty liver
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... : cardiogenic, obstructive ... contusion) • OBSTRUCTIVE ... Embolism, Outflow Obstruction ... neuraxial anesthesia), Liver
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
intralobular bile ducts causes ... /Liver failure ... extrahepatic biliary obstruction ... or higher • Liver ... disease, Bile duct obstruction
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Arrhythmia • Obstructive ... Treatment Goals ... criticalcare #algorithm #treatment
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... disease • Acute liver ... • Sinusoidal obstruction ... Inferior vena cava obstruction