L6: PHTN & Esophageal Varices Flashcards

1
Q

Def of PHTN

A

Increased portal vein pressure > 12 mmHg

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2
Q

Normal Portal Pressure

A

(Normal portal vein pressure is 5 - 10 mmHg).

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3
Q

Etiology of PHTN

A
  • Pre-hepatic (Infra-hepatic) causes
  • Intra-hepatic causes
  • Post-hepatic (supra-hepatic)
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4
Q

Pre-Hepatic Causes of PHTN

A
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5
Q

Intra-Hepatic Causes of PHTN

A
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6
Q

Post-Hepatic Causes of PHTN

A
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7
Q

Pathophysiology of PHTN

A
  • Congestion
  • Portosystemic Shunts
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8
Q

Congestion

Pathophysiology of PHTN

A
  • Splenic: splenomegaly
  • Stomach: dyspepsia
  • Portal Hypertensive gastropathy (PHG)
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9
Q

Portosystemic shunts

Pathophysiology of PHTN

A
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10
Q

Esophageal portosystemic shunts

  • Clinical Condition
  • Portal Circulation
  • Systemic Circulation
A
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11
Q

Rectal portosystemic shunts

  • Clinical Condition
  • Portal Circulation
  • Systemic Circulation
A
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12
Q

Paraumbilical portosystemic shunts

  • Clinical Condition
  • Portal Circulation
  • Systemic Circulation
A
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13
Q

Intrahepatic portosystemic shunts

  • Clinical Condition
  • Portal Circulation
  • Systemic Circulation
A
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14
Q

Retroperitoneal portosystemic shunts

  • Clinical Condition
  • Portal Circulation
  • Systemic Circulation
A
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15
Q

CP of PHTN

A
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16
Q

Investigations for PHTN

A
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17
Q

TTT of Varices

A
18
Q

Intro to Upper GI Bleed

A
19
Q

Causes of GI Bleed

A
20
Q

CP of GI Bleed

A
21
Q

Presentations of GI Bleed

A
  • Hematemesis
  • Melena
  • Hematochezia
22
Q

Hematemesis

A
23
Q

Melena

A
24
Q

Hematochezia

A
25
Q

Hx

Approach of Upper GI Bleed

A
26
Q

Physical Ex

Approach of Upper GI Bleed

A
27
Q

Investigations
Approach of Upper GI Bleed

A
28
Q

Managment

Approach of Upper GI Bleed

A
29
Q

Resuscitation & Emergency TTT

Approach of Upper GI Bleed

A
30
Q

Pharmacologic Therapy

Approach of Upper GI Bleed

A
31
Q

Octeriotide

A
32
Q

Vasopressin

Approach of Upper GI Bleed

A
33
Q

terlipressin

Approach of Upper GI Bleed

A
34
Q

Endoscopic therapy

Approach of Upper GI Bleed

A
35
Q

Sclerotherapy

Approach of Upper GI Bleed

A
36
Q

Complications of endoscopic therapy

Approach of Upper GI Bleed

A
37
Q

What is TIPS?

A
38
Q

Steps of TIPS

A
39
Q

Complications of TIPS

A
40
Q

Surgical Therapy

Approach of Upper GI Bleed

A
41
Q

Treatment of non-variceal bleeding

A