Budd-Chiari Syndrome

Question 1

what is budd-chiari syndrome

Answer 1

uncommon illness caused by thrombosis of hepatic veins or IVC

Question 2

what are symptoms of budd-chiairi

Answer 2

abdominal pain
massive ascites
hepatomegaly

Question 3

how may this condition present?

Answer 3

acutely or as a chronic illness

Question 4

Budd chiari can be _______and _________

Answer 4

primary or secondary, based on pathophysiology

Question 5

Primary type

Answer 5

Congenital obstruction of hepatic veins/IVC

Question 6

Secondary type

Answer 6

thrombosis in hepatic veins or IVC

-often in patients with predisposing conditions (oral contraceptives, pregnancy, infections, trauma)

Question 7

most characteristic clinical feature

Answer 7

Ascites

Question 8

is jaundice a common symptom

Answer 8

Mild or absent

Question 9

If thrombus is found in IVC

Answer 9

edema of the legs is gross and venous distension will be found

Question 10

what will be mild to moderately impaired

Answer 10

aminotransferase and alkaline phosphatase

Question 11

what lobe becomes enlarged

Answer 11

Caudate lobe

Question 12

what occurs to the right lobe

Answer 12

Atrophy (probably as a result of sparing of the caudate lobe)

Question 13

what is the echogenicity of the liver in acute thrombosis

Answer 13

Hypoechoic

Question 14

What is the echogenicity of the liver in later stages

Answer 14

hyperechoic and inhomogenous

Question 15

with thrombosis what becomes enlarged

Answer 15

hepatic veins

Question 16

what occurs to doppler flow in hepatic or IVC

Answer 16

changes from phasic to absent, reversed, turbulent or continuous

Question 17

Absence of flow signal

Answer 17

Indicates total occulsion