hepatospleno

Question 1

Porto-caval anastomoses

Answer 1

Eesophageal: Azygos vv (caval; Eesophageal vv (portal)
Periumbilical (caput medussae) Periumbilical vv (portal)
Superior rectal vv (portal) and inferior rectal vv (caval)

Question 2

Congenital causes of portal HT

Answer 2

congenital atresia/stenosis

hepatic fibrosis

Question 3

What is Budd Chiari syndrome

Answer 3

Rare condition, where hepatic vein is occluded, thus drainage of liver is impaired
Leads to RUQ pain, ascites and hepatomegaly

Question 4

Causes of hepatomegaly

Answer 4

schistosomiasis
viral hepatitis or alcoholic induced cirrhosis
RVF
drug-induced (paracetamol)
Constrictive pericarditis
Budd Chiari syndrome
congenital atresia/stenosis
hepatic fibrosis

Question 5

infective causes of splenomegaly

Answer 5

acute: glandular fever, endocarditis, septic shock, typhillis
chronic: TB
parasitic: VL, malaria, schistosomiasis

Question 6

type of hypertension leading to splenomegaly?

Answer 6

portal HT

Question 7

inflammatory causes of splenomegaly

Answer 7

RA
SLE
Sarcoidosis

Question 8

haematological causes of splenomegaly

Answer 8

haemolytic anaemia
haemoglobinopathies
leukaemia
lymphoma
myeloproliferative

Question 9

misc causes of splenomegaly

Answer 9

storage disease
amyloid
neoplasm