PPT-Portal hypertension and bleeding

varices update 2017 DR Supachoke Maspakorn Overview Variceal bleeding is the most serious complication of cirrhosis Up to 50 mortality rate within 30 days of presentation Isolate . Functions of the liver . Synthesis . (. gluconeogenesis. , . glycogenesis. , protein, cholesterol, . coag. factors, bile) . Breakdown . (drugs and toxins, . glycogenolysis. , . bilirubin. metabolism, ammonia). STS. 4/13/2015. Cerebrovascular Accident & Stroke. CVA: an interruption of blood flow to the brain. Stroke: loss of brain function due to a CVA. No. 1 risk factor: . hypertension. Other potential causes:. NUR – 224. LEARNING OUTCOMES. Explain liver function tests.. Relate jaundice, portal hypertension, ascites, varices, nutritional deficiencies to the pathophysiology of the liver.. Use the nursing process as the framework for the care of the patient with cirrhosis of the liver. Obstetrics. Obstetrics deals with the care of women's reproductive tracts and their children during pregnancy, childbirth and the postnatal period.. A doctor performing such practice is called Obstetrician.. Causes. Cirrhosis. Non-cirrhosis. Symptoms. Asymptomatic. Complications. G. astroesophageal. . varices. . A. scites . Splenomegaly. Underlying disease. Bleeding prevention. Approximately one-third of all patients with . DR. SHWETA SHENDEY. ROLE OF VASCULAR INTERVENTIONS . T/T GASTROINTESTINAL HAEMORRHAGE. T/T PORTAL HYPERTENSION . T/T LIVER TUMOURS. GI HAEMORRHAGE . Upper GIH. Peptic ulcers,. erosive gastritis,. Varices. SCENARIO:. Here is a 68y old male patient admitted to k block and diagnosed as alcoholic liver disease, liver cirrhosis, ascites and portal hypertension and hospitalised for 9 days.. SOAP NOTE. :. SUBJECTIVE. Dr. Mohamed . Hesham. . Sayed. . Professor of Pediatrics . Rabigh. Faculty of Medicine, KAU. Objectives. Define and classify causes of . cholestasis. .. Describe the consequence of . cholestasis. Correlate the abnormalities in LFT with . Prepared by:. Dr. Muntadher Abdulkareem Abdullah. M.B.Ch.B,CABM,FIBMS,FIBMS(GE.&HEP.). Liver cirrhosis:. Cirrhosis. : . A consequence of CLD characterized by replacement of liver tissue by fibrosis and . Portal Hypertension: Introduction As early as the 17th century, it was realized that structural changes in the portal circulation could cause gastrointestinal bleeding.In 1902, Gilbert and Car Dr. Muntadher Abdulkareem Abdullah. M.B.Ch.B,CABM,FIBMS,FIBMS(GE. .&HEP.). Objectives. :. At the end of this lecture you must know:. 1.What . is . portal hypertension ?. 2.What is . etiology of portal hypertension ?. 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 .. 2 teams. . Select . one person. . on each side. . to deliver the final. . answer for the group during the practice question portion.. We will spend ~15min on review, then ~15min on the practice questions.. Ian Weir. Radiology, Vancouver Island Health Authority. September 2017. I have no conflicts to disclose. Spectrum of Problems. Perforation. GI bleeding. Ischemic gut. Abscesses. Biliary Obstruction and Leaks.