OSCE Flashcards
1
Q
What are the sites of porto-systemic anastamoses?
A
Lower oesophagus
Anal canal
Umbilicus (caput medusae)
Splenorenal
Varicies form in these regions
2
Q
What are signs of portal hypertension?
A
Varicies
Ascites
Splenomegaly
3
Q
How can portal hypertension be treated?
A
TIPS
(Trans-jugular Intrahepatic portosystemic shunt)
Connects hepatic and portal vein
4
Q
What is a common complication of TIPS?
A
Exacerbation of hepatic encephalopathy
Caused by inadequate metabolism of nitrogenous waste products by the liver
5
Q
What is the treatment for hepatic encepahlopathy?
A
Lactulose