Abdo Distension Flashcards
2 pictures for liver LFTs?
Cholestitis: raised ALP, GGT
hepatitis: raised ALT
2 pictures for liver LFTs?
Cholestitis: raised ALP, GGT
hepatitis: raised ALT
causes of ascites? portal hypertension
portal hypertension
- cirrhosis
- alcoholic hepatitis
- cardiac failure
- buff-chiari syndreome
- massive hepatic metastasis
other causes of ascites?
peritoneal carcinomas
- pancreatitis
- nephrotic syndrome
- peritoneal tuberculosis
- serositis
common causes of cirrhosis?
Alcohol
Hep C
NASH
Hep B
See prof russell tutorial list
pressure in portal vein is?
important collaterals with prolonged portal hypertension
caput medusae
causes of ascites? portal hypertension
portal hypertension
- cirrhosis
- alcoholic hepatitis
- cardiac failure
- buff-chiari syndreome
- massive hepatic metastasis
other causes of ascites?
peritoneal carcinomas
- pancreatitis
- nephrotic syndrome
- peritoneal tuberculosis
- serositis
common causes of cirrhosis?
Alcohol
Hep C
NASH
Hep B
See prof russell tutorial list
pressure in portal vein is?
important collaterals with prolonged portal hypertension
caput medusae
decompensation of liver signs?
high INR
jaundiced
other synthetic functions
what causes gynecomastia?
digoxin
spirinolactone (painful)
portal hypertension confirmation? 3 things
reversal of flow
varies
recannulisation of ligamentum teres
what is SBP?
spontaneous becterial peritonitis
spontaneous becterial peritonitis dx?
> 250 polymorphs/mm3
SAAG?
serum albumin - ascites gradient
>11: pHTN
MAnagement of ascites?
salt restriction fluid restriction no NSAIDS/ACE/A2RBs Diuretics: spironolactone Ascitic TAp
what causes gynecomastia?
digoxin
spirinolactone
screen for what in newly diagnosed cirrhosis?
varices
3 likely places for varices
rectum
umbilical
fundus/stomach/esophagus
esophageal varices prophylaxis?
non-selective B blocker
banding
Child-Pugh score?
Ascites bilirubin albumin INR encephalopathy
A is better
B: moderate
C is worse
