Portal Hypertension Flashcards
1
Q
what is the definition of portal hypertension?
A
Increased blood pressure in the portal venous system
2
Q
what is the aetiology of portal hypertension?
A
Cirrhosis of the liver Blood clots in portal vein Blockage of veins Schistosomiasis Focal nodular hyperplasia HIV
3
Q
what are the key presentations of portal hypertension?
A
GI bleeding
Ascites
Encephalopathy
Reduced platelet levels
4
Q
what are the first line and gold standard investigations for portal hypertension?
A
Physical exam on ascites and varices
XR
Endoscopy
FBC
5
Q
how is portal hypertension managed?
A
Endoscopic therapy Nonselctive beta blockers Lactulose Lifestyle changes TIPS DSRS Liver transplant Devascularisation Paracentesis
6
Q
what are the complications of portal hypertension?
A
oesophageal and other varices, NAFLD