Portal Hypertension Flashcards
1
Q
What is portal hypertension?
A
Increased pressure within the portal venous system
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
3
Q
How does portal hypertension present?
A
Varices related to anastomoses of portal venous system Varice bleed Caput medusa Hypersplenism Thrombocytopenia
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
5
Q
How to treat post-acute variceal bleed?
A
Varices band ligation
B blockers