Liver

Question 1

oesophageal varices- pathophis, Mx

Answer 1

dilated collateral blood vessels that develop secondary to portal hypertension
rupture to cause bleeding
Mx: terlipressin IV
urgent endoscopy and banding.
if stable: terlipressin + propanolol
if unstable: TIPSS

Question 2

indication for TIPSS

Answer 2

Transjugular intrahepatic portosystemic shunt
- 2ndary prohylaxis for oesophageal varcies
- ascites
- portal hypertension