Disorders of the hepatic and mesenteric
circulation
#MedTwitter #LiverTwitter #GITwitter #Liver #ACG2022
circulation
#MedTwitter #LiverTwitter #GITwitter #Liver #ACG2022
⚠️Remember your anatomy!
Where do clots occur?
Diagnosis of portal/superior mesenteric vein thrombosis
Acute or chronic?
ACUTE PVT radiology findings
Workup of acute PVT
Anticoagulation in PVT
💊6-12 months if cause is reversible; otherwise, lifelong
💊6-12 months if cause is reversible; otherwise, lifelong
Large varices– NSBB
PVT summary
Portal and mesenteric vein thrombosis *in cirrhosis*
Budd-Chiari syndrome
Imaging findings of Budd-Chiari
🕸️🕸️🕸️
Treatment of Budd-Chiari syndrome
Algorithms for:
🩸 acute portal vein thrombosis
🩸 chronic PVT
🩸 PVT in cirrhosis
🩸 Budd-Chiari syndrome
🩸 acute portal vein thrombosis
🩸 chronic PVT
🩸 PVT in cirrhosis
🩸 Budd-Chiari syndrome
Dr. Kamath on thrombophilia screening:
Myeloproliferative neoplasms (JAK2)
Factor V Leiden
Prothrombin gene mutations
Protein C & S
Consider hematology consult
Myeloproliferative neoplasms (JAK2)
Factor V Leiden
Prothrombin gene mutations
Protein C & S
Consider hematology consult
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