Portal circulation Flashcards

1
Q

In pediatrics, where on the body is a cavernous transformation most commonly seen

A

The portal or the splenic vein

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2
Q

What is cavernous transformation?

A

The development of collateral vessels around an obstructed vessel

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3
Q

Why might a portal vein obstruction patient acutely develop ascites?

(Liver function is normal

A

Usually following a GI bleed – the RBC load sometimes causes a transient hepatic decompensation

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4
Q

Why might a portal vein obstruction patient develop steatorrhea or enteropathy?

A

Venous congestion can damage the mucosa

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5
Q

What activity modification might be needed for patients with portal vein obstruction?

A

Splenic precautions –

If splenomegaly is present

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6
Q

What are splenic precautions?

A
  •  No contact sports (or must use a “spleen guard”)

*  No NSAIDs (risk of bleeding)

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