PPT-Portal hypertension Prepared by:

Dr Muntadher Abdulkareem Abdullah MBChBCABMFIBMSFIBMSGE ampHEP Objectives At the end of this lecture you must know 1What is portal hypertension 2What is etiology of portal hypertension . Weber MD Ernesto L Schiffrin MD William B White MD Samuel Mann MD Lars H Lindholm MD John G Kenerson MD John M Flack MD Barry L Carter Pharm D Barry J Materson MD C Venkata S Ram MD 10 Debbie L Cohen MD 11 JeanClaude Cadet MD 12 Roger R JeanCharles Functions of the liver . Synthesis . (. gluconeogenesis. , . glycogenesis. , protein, cholesterol, . coag. factors, bile) . Breakdown . (drugs and toxins, . glycogenolysis. , . bilirubin. metabolism, ammonia). 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. ORIGINAL ARTICLE K Madhu1 Sinistral Portal Hypertension. A Case Report Dinesh Singhal, Rahul Kakodkar, Arvinder S Soin, Subash Gupta, Samiran Nundy Department of Surgical Gastroenterology, Sir Ganga Ram Hospital. New Delhi, In Circulation 2014;129:587-597. Teaching Tool: Hyperfiltration Early Sign of Hypertension and Diabetes. J Am Soc Nephrol 2017;28:1023-1039. Hyperfiltration Early in . Diabetic Nephropathy. Circulation 2016;134:752-772. Causes. Cirrhosis. Non-cirrhosis. Symptoms. Asymptomatic. Complications. G. astroesophageal. . varices. . A. scites . Splenomegaly. Underlying disease. Bleeding prevention. Approximately one-third of all patients with . 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 . Hypertension . doubles the risk of cardiovascular diseases, including coronary heart disease (CHD), congestive heart failure (CHF), ischemic and hemorrhagic stroke, renal failure, and peripheral arterial disease. 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 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..