54 results
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
Milking abdominal veins ... Milking #abdominal #veins ... clinical #video #physicalexam ... #cirrhosis #hepatology
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
Superior Vena Cava Syndrome ... dilated collateral veins ... Superior #Vena #Cava #Syndrome ... #PhysicalExam # ... vascular #collateral #veins
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal Veins ... Blood Flow Vein ... • Normal veins ... #Blood #Flow #physicalexam ... #diagnosis #hepatology
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Cirrhosis Portal Vein ... PVT) Mesenteric Vein ... ) Budd Chiari Syndrome ... Circulation #Disorders #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Prehepatic: • Portal vein ... thrombosis • Splenic vein ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... Diagnosis #Algorithm #Hepatology
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
previously flat neck veins ... superior vena cava syndrome ... Thyroid #Goiter #PhysicalExam ... neck #mass #SVC #Syndrome
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Cirrhosis • Portal vein ... • Nephrotic syndrome ... Gradient #SAAG #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
#Hypertension #PhysicalExam ... flow #direction #veins ... #cirrhosis #hepatology
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Vascular: Budd-chiari syndrome ... , Portal vein thrombosis ... Sinusoidal obstruction syndrome ... Diagnosis #causes #hepatology
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Dilated Abdominal Veins ... abdominal wall veins ... lead abdominal vein ... #Milking #SVC #syndrome ... #Video #Chest #PhysicalExam