PPT-Ascites and Hepatocellular carcinoma

Curtis Barry MD UMASS ECHO April 21 2017 Ascites The Development of Ascites Revised Underfill Peripheral vasodilation occurs as the result of decreased hepatic clearance of vasodilators such as glucagon and NO. A specially designed silicone medical device consisting of a pump chamber with two catheters the Denver shunt transfers fluid from the peritoneum to the central circulatory system This allows the patient to maintain the critical protein and nutrient risk factors and pathogenesis. Dr Richard Phillips. KNUST/KATH. Introduction. 0.25-1.2 million . cases worldwide per . year. 5. th. most common human cancer. . 80% of burden in developing countries. Objectives. Become familiar with the different etiologies of ascites. Know the indications for paracentesis. Understand the diagnostic approach to evaluating ascites. Ascites classification. Portal Hypertension . Objectives. Become familiar with the different etiologies of ascites. Know the indications for paracentesis. Understand the diagnostic approach to evaluating ascites. Ascites classification. Portal Hypertension . Authors. : . Federico Piñero. 1,11,12. , Fernando Rubinstein. 15. , . Sebastián. Marciano. 2. , Nora Fernández. 5. , Jorge Silva. 10. , . Yanina. Zambelo. 8. , Margarita Anders. 4. , . Alina. Zerega. Mohammad . Alkhateeb. . Abd. . A. lrahman. . saadah. Cont. e. nts. Clinical case . Defi. n. it. i. on. Types and. . Causes. Cli. n. ica. l. . f. eatu. r. es. . Complications. H. i. sto. r. y. . Ameen . mahmoud. Layan al-. hamdan. Diana . abu. -surah Rami . riyad. Momen. Hijazi Tamara al-qadi. Made by:. Objectives. Definition. Etiology & Pathophysiology. History & Physical Examination. in advanced stage cancer. ESDO Learning Bytes 2021. Elisabeth . Stragier. Gastroenterology Dep., Jessa Hospital, Hasselt, Belgium. Digestive Oncology Dep., University Hospitals Leuven, Belgium. CONTENT. Khamees. , MD. Internal medicine consultant . Gastroenterology and liver diseases specialist. A 50 years old lady presented to the clinic with 3 weeks history of abdominal distension that increased over the last 4 days ..what further questions regarding SYMPTOMS are you going to ask about?. ● ● CBC with differential , liver function test ( LFTs ) , c reatinine , electrolytes , PT / INR , lipid profile , hemoglobin A 1 C , alpha - fetoprotein ( AFP ) ● Viral serologies if 4874 Key words (MeSH)Carcinoma hepatocellularMagnetic resonance Liver neoplasms Palabras clave (DeCS)Carcinoma hepatocelularImagen por resonancia Neoplasias hepáticas Magnetic Resonance Imaging of th M.B.Ch.B,CABM,FIBMS,FIBMS(GE.&HEP.). Oedema . Oedema is caused by an excessive accumulation of fluid within the interstitial space.. Clinically, this can be detected by persistence of an indentation in tissue following pressure on the affected area (pitting oedema).. Ascites. Defined as the accumulation of fluid in the peritoneal cavity. . It is a common clinical finding, with many . extraperitoneal. and peritoneal causes , but most common from liver cirrhosis ..