Hepatology Flashcards
quid of portal hypertension
portal pressure 5 mm greater than the IVC pressure
type of portal hypertension(4)
presinusoidal
sinusoidal
post sinusoidal
budd chiari syndrome
cause of presinusoidal portal hypertension(3)
splenic or portal vein thrombosis
schistosomiase
granulomatous disease
cause of sinusoidal portal hypertension(2)
cirrhosis
granulomatous disease
causes of post sinusoidal portal hypertension(3)
right hear failure
hepatic vein thrombosis
constrictive pericarditis
quid of budd chiari syndrome
hepatic vein thrombosis due to hypercoagulability
SAAG> 1,1 cause of ascites
imbalance between hydrostatic et oncotic pressure
disease with SAAG> 1.1(3)
chronic liver disease
Massice hepatic metastases
CHF
SAAG < 1,1 cause of ascites
protein leakage
disease with SSAG<1,1(3)
nephrotic syndrome
TB
Malignancy
DX of SBP(2)
> 250 PMS/ml
or
500 wbc in the ascitic fluid
complication of hepatocellular carcinoma(3)
GI bleeding
liver failure
metastasis
AB5CD of wilson disease
asterixis basal ganglia deterioration ceruloplasmin low copper high cirrhosis carcinome hepatocellulaire choreiform mvts dementia
Ranson s criteria in acute pancreatis on admission GA LAW
glucose .> 200 mg/dl age> 55 ans LDH > 350 UI/L AST > 250 UI/dl WBC > 16 000/ml
Ranson s criteria in acute pancreatis after 48 h CHOBBS
CA++ < 8 mg/dl hematocrit decreased by > 10 % o2 PaO2 < 60 mm de hg base excess > 4 meg/l BUN increase > 5mg/dl sequestred fluid > 6 l
