Discover and read the best of Twitter Threads about #portal

@SRajesh_IR

1
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp

2
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇

3
#New techniques such as combined approach for difficult anatomy situation in TIPS in cirrhosis 👇

Read 7 tweets

1/2
2017: #young #male after a #trip to Hills with '#Naturalists'. Fever and abnormal liver tests. #jaundice in a week. Long evaluations multiple places. Following up as fever of unknown origin. Father a pastor. Son denies everything, studious. #Liver #biopsy done.
#livertwitter

2/2
Classical #liverpath
Top:Lobular #inflammation, #Portal triaditis; Bottom: central venulitis, perivenular #cholestasis
Asks young man alone, 1hr #interrogation
Finally, S(n)ORTED OUT THE PROBLEM.
#Cocaine induced #Hepatitis
Its pays to invest in good #clinical #history

#MedTwitter #MedStudentTwitter #MedicalStudent #MedEd #teaching #education
Link to paper: bit.ly/2EIOtmT
#ThrowbackThursday #tbt

@SRajesh_IR

#livertwitter #irad
For patients with #cirrhosis without #liver failure, we believe in early and aggressive #treatment for #portal hypertension (increased liver pressure) with #TIPS and also knockout all big parasitic #shunts (done here with a plug) 1/3
@SRajesh_IR is 💯 on it

@SIRRFS

The #satisfaction of seeing those large bunch of #bleeding and #encephalopathy source #disappear is quite nice!
#MedTwitter #Medical #medicine
#MedicalStudent #MedEd
@SIRRFS 2/3

@keithppereira

In due course, we see the #spleen size reduce, as portal #hypertension comes under #control
Has anyone else noticed the dynamics of spleen post TIPS and its relevance? @keithppereira @CHICKVIR @SIRspecialists #radiology #aasld #easl #apasl
3/3

Oregon Advocate

@OregonAdvocate

Did you All know, #parents on #SSI with #dependent #children who filled out the non filer #IRS #form/ #portal and promised $500 per qualifying #dependent, has not recieved this #pandemic dependent #check? Filled out on time, and intructed by the IRS, SS and numerous others?

And nothing? Some of the lowest income and disabled parents - are being forgotten. IRS tells parents who call That non filers must file next yr to get this?! Some say end of July, yet so far nothing. $500 means the world to these families with a disabled parent.

If the dependent checks do come, and a BIG IF! These parents will be the latest to be given pandemic relief checks? Did you know most parents on SSI are raising kids on $780 a month?! And these families have not revieved any dependent relief aid?!

#crazy Useless #patient

1/n
Middle-aged man, loves his #family, #farming, drives a cab, #happy. Son & wife at #home. Father-son relationship strong as rock. One #morning, son finds father mumbling to self. Mother says he hardly slept
Mumbling becomes angry ramblings. #Clinical

2/n
Has very little #breakfast. Walks excessively. Goes and lies down, only to get up and walk again. Family interactions little. Sleeps well for 2 hours from 12 to 2PM. Lunchtime. Groggy #father gets on the lunch table and defecates near plates and food. Son and mother aghast.

3/n
Father has gone mad. Calls the friendly neighbor, brings his car, rushes to #Medical specialty #clinic nearby. Father disoriented. Son gets the Fword from his own father multiple times, he is shocked! Then comes hurling of abuses after which they restrain him in the car.

Read 15 tweets

@SRajesh_IR

More power to #irad
#Bleeding #varices and plug assisted transvenous #occlusion by @SRajesh_IR
Varices dissappear (arrows)
Wonderful to see how portal vein size increases (B➡️D) after shunt occlusion. #interventional #MedTwitter #radiology #livertwitter #GITwitter
1/2

@SIRspecialists

Similarly, intrahepatic #portal vein caliber increases(B➡️D), making further #TIPS procedure technically more amenable. Large shunts are like blood parasites for portal vein. Shunt+varices long gone! (circled, A➡️C) #cirrhosis #MedTwitter
#hepatology #irad @SIRspecialists
2/2

@SIRRFS

@SIRRFS @radsigns

@AASLDtweets

🤓Here are our lecture presentations for #DDW2020
1/1 #Gut #microbiota and role in clinical events & #treatment response in #alcoholic #hepatitis. LEfSE, Conet and NetworkX analysis.
@AASLDtweets @DDWMeeting @AmerGastroAssn #medtwitter #MedEd #AcademicTwitter

2/3 Introducing 'Anticipant TIPS' in #cirrhosis and #portal hypertension

3/3 Role of GM CSF therapy in advanced cirrhosis awaiting #Liver #transplantation