clinical syndromes of cirrhosis

Question 1

what does the portal system consist of

Answer 1

-superior mesenteric +splenic vein + gastric + part from inferior mesenteric

Question 2

where does the portal vein carry outflow to ?

Answer 2

spleen 
oesophagus
stomach 
pancreas
small and large intestine

Question 3

describe hepatic blood flow

Answer 3

get oxygenated blood from hepatic artery combined with nutrient rich deoxygenated blood from hepatic portal vein and it travels to

• liver sinusoids
• central vein
• hepatic vein
• inferior vena cava
• right atrium of heart

Question 4

what are portocaval anastomosis sites of varices

Answer 4

a specific type of anastomosis that occurs between the veins of portal circulation and those of the systemic circulation

Question 5

where are the 4 collateral pathways (for anastomosis)

Answer 5

> oesophagus and gastric venous plexus
umbilical vein from the left portal vein to the epigastric venous system
retroperitoneal collateral vessels
the hemorrhoidal venous plexus

Question 6

what can happen to these varices in caesura of portal hypertension

Answer 6

these anastomoses can become engorged, dilated or varicosed and subsequently rupture