Budd-Chiari Syndrome (BCS) Flashcards
1
Q
Presentation of BCS?
A
Sudden-onset ascites
Tender hepatomegaly
No jaundice
2
Q
What is the aetiology of BCS?
A
Hepatic vein outflow obstruction, commonly caused by thrombosis/malignant obstruction
3
Q
Risk factors for BCS?
A
Malignancy
Thrombophilia
Trauma
Oral contraceptive pill
4
Q
Diagnosis of BCS?
A
Doppler scan of hepatic vein
Venography
(trying to identify an obstruction)
5
Q
Other conditions with a similar presentation?
A
Right-sided heart failure
Constrictive pericarditis
IVC obstruction
- these must also be excluded during your investigation
6
Q
Treatment of BCS?
A
Depends on the cause but likely to involve thrombolysis
