Portal Hypertension Flashcards

1
Q

What is portal hypertension?

A

Increased pressure within the portal venous system

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2
Q

Possible causes of PHT?

A
  • Pre-hepatic causes such as a blockage to the vein by a thrombus or external occlusion
  • Intrahepatic causes such as cirrhosis
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3
Q

How does portal hypertension present?

A
Varices related to anastomoses of portal venous system 
Varice bleed
Caput medusa 
Hypersplenism 
Thrombocytopenia
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4
Q

How to treat portal hypertension- acute varice bleed?

A

Need resuscitation
Terlipressin to constrict vessels
Endoscope and band patients
TIPPS to remove pressure

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5
Q

How to treat post-acute variceal bleed?

A

Varices band ligation

B blockers

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