Portal hypertension

Question 1

Portal circulation pressure value?

Answer 1

Normal pressure value in the portal vein is 10 to 15 mmHg.

Question 2

Portal hypertension depends on 2 factors?

Answer 2

Flow and resistance

Question 3

Portan hypertension (PHT) 3 types:

Answer 3

1. Pre-hepatic due to VENOUS THROMBOSIS
2. Intra-hepatic due to sinusoidal (liver capillaries) or hepatic diseases or viruses
3. Post-hepatic due to some disorder in the heart

Question 4

Consecuentes and signs from Portal hypertension (PHT)

Answer 4

Ascites: peritoneal fluid accumulation (build up of fluid in abdomen)

Collateral circulation vein development: PALM TREE SIGN or CAPUT MEDUSAE ser ut som träd av venerna på magen

Splenomegaly: increased spleen size

Question 5

Diagnosis of Portal hypertension

Answer 5

Laboratory tests:
• Low protein levels,
• Increased AST, ALT, AP, GGT,
• Increased bilirubin,
• Ammonia in arterial blood.

Imaging test

• Ultrasound (portal diameter)
• CT scan