Dr Aida BT

Question 1

What are the clotting factors for liver pneumonic? [1]

What are the liver clotting factors? (4)

Answer 1

1972

Liver clotting factors:
10
9
7
2

Question 2

Peripheral Stigmata of liver disease related to alcohol intoxication? (6)

Answer 2

-Dupuytren’s contracture
- Spider nevi
- Finger nail changes
- Palmar erythema
- Petechiae
- Purpura

Question 3

Why veins (what veins?[2]) on umbilucus which is superficial is visible on inspection when patient has portal hypertension? (2)

Answer 3

• Superior epigastric veins
• Inferior epigastric veins
• In portal hypertension there is venous congestion
• Due to portosystemic anastomoses

Question 4

Etiologies of portal hypertension (3)

Answer 4

Liver cirrhosis
Vascular obstruction (portal vein thrombosis, Budd-chiari syndrome)
Schistosomiasis

Question 5

What are the 3 sites of portosystemic anastomoses?
What are the 3 clinical signs of portal hypertension based on the tree sites above?

Answer 5

1) Esophagus- Esophageal varices
2) Umbilicus - caput medusae
3) Rectum - Anorectal varices