L6: PHTN & Esophageal Varices Flashcards by Ahmed Farag

Q

Def of PHTN

A

Increased portal vein pressure > 12 mmHg

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Q

Normal Portal Pressure

A

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

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Q

Etiology of PHTN

A

Pre-hepatic (Infra-hepatic) causes
Intra-hepatic causes
Post-hepatic (supra-hepatic)

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Q

Pre-Hepatic Causes of PHTN

A

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Q

Intra-Hepatic Causes of PHTN

A

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Q

Post-Hepatic Causes of PHTN

A

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Q

Pathophysiology of PHTN

A

Congestion
Portosystemic Shunts

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Q

Congestion

Pathophysiology of PHTN

A

Splenic: splenomegaly
Stomach: dyspepsia
Portal Hypertensive gastropathy (PHG)

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Q

Portosystemic shunts

Pathophysiology of PHTN

A

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Q

Esophageal portosystemic shunts

Clinical Condition
Portal Circulation
Systemic Circulation

A

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Q

Rectal portosystemic shunts

Clinical Condition
Portal Circulation
Systemic Circulation

A

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Q

Paraumbilical portosystemic shunts

Clinical Condition
Portal Circulation
Systemic Circulation

A

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Q

Intrahepatic portosystemic shunts

Clinical Condition
Portal Circulation
Systemic Circulation

A

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Q

Retroperitoneal portosystemic shunts

Clinical Condition
Portal Circulation
Systemic Circulation

A

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Q

CP of PHTN

A

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Q

Investigations for PHTN

A

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Q

TTT of Varices

A

Q

Intro to Upper GI Bleed

A

Q

Causes of GI Bleed

A

Q

CP of GI Bleed

A

Q

Presentations of GI Bleed

A

Hematemesis
Melena
Hematochezia

Q

Hematemesis

A

Q

Melena

A

Q

Hematochezia

A

Q

Hx

Approach of Upper GI Bleed

A

Q

Physical Ex

Approach of Upper GI Bleed

A

Q

Investigations
Approach of Upper GI Bleed

A

Q

Managment

Approach of Upper GI Bleed

A

Q

Resuscitation & Emergency TTT

Approach of Upper GI Bleed

A

Q

Pharmacologic Therapy

Approach of Upper GI Bleed

A

Q

Octeriotide

A

Q

Vasopressin

Approach of Upper GI Bleed

A

Q

terlipressin

Approach of Upper GI Bleed

A

Q

Endoscopic therapy

Approach of Upper GI Bleed

A

Q

Sclerotherapy

Approach of Upper GI Bleed

A

Q

Complications of endoscopic therapy

Approach of Upper GI Bleed

A

Q

What is TIPS?

A

Q

Steps of TIPS

A

Q

Complications of TIPS

A

Q

Surgical Therapy

Approach of Upper GI Bleed

A

Q

Treatment of non-variceal bleeding

A