10 results
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... This patient has Kussmaul's ... associated with constrictive ... #Sign #PhysicalExam ... Clinical #JVP #Neck #Veins
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal vein ... thrombosis • Splenic vein ... Heart failure • Constrictive ... Diagnosis #Algorithm #Hepatology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Kussmaul's Sign ... The Kussmaul sign ... associated with constrictive ... #PhysicalExam # ... Clinical #JVP #Neck #Veins
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... Cirrhosis • Portal vein ... budd-chiari • CHF • Constrictive ... Gradient #SAAG #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... of portal HTN: ascites ... portal HTN: • Ascites ... heart failure and constrictive ... Diagnosis #causes #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Peritoneum Portal hypertension ... failure - Constrictive ... Portal vein occlusion ... #differential #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal Veins ... Blood Flow Vein ... • Portal Hypertension ... #Blood #Flow #physicalexam ... #diagnosis #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
Medusae in Portal Hypertension ... Medusae #Portal #Hypertension ... #PhysicalExam # ... flow #direction #veins ... #cirrhosis #hepatology
Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
in the Cephalic Vein ... severe pulmonary hypertension ... Jugular vein pulsation ... pathology such as Kussmaul's ... #CephalicVein #PhysicalExam
Common Malignancies That Cause Ascites
The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
causing portal hypertension ... by portal hypertension ... or hepatic vein ... • PORTAL HYPERTENSION ... Differential #Diagnosis #Hepatology