Portal hypertension USMLE Step 1 : Etiology, Clinical features, Diagnosis and Treatment

📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- / drgbhanuprakash
📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- t.me/bhanuprakashdr
📌𝗦𝘂𝗯𝘀𝗰𝗿𝗶𝗯𝗲 𝗧𝗼 𝗠𝘆 𝗠𝗮𝗶𝗹𝗶𝗻𝗴 𝗟𝗶𝘀𝘁:- linktr.ee/DrGBhanuprakash
Portal hypertension refers to a pathological elevation of portal venous pressure resulting from obstructions in portal blood flow, which may be either prehepatic (e.g., portal vein thrombosis), hepatic (e.g., liver cirrhosis), or posthepatic (e.g., right-sided heart failure). The subsequent backflow of blood may lead to portosystemic anastomoses, splenomegaly, and/or ascites. While portal hypertension may be diagnosed purely based on the presence of clinical signs and potential risk factors, medical imaging and laboratory tests are used to support the diagnosis in suspected cases. Management requires treating the underlying condition and reducing portal pressure with nonselective beta-blockers and portosystemic shunts.
A potentially life-threatening complication is acute hemorrhage of the esophageal varices caused by increased blood flow via portosystemic anastomoses. Patients present with sudden hematemesis and melena, as well as hypovolemic shock in some cases. In addition to stabilizing the patient, acute management of variceal bleeding includes reducing splanchnic blood flow with octreotide and endoscopic variceal band ligation. Prevention of (recurring) bleeding involves nonselective beta-blockers, endoscopic variceal ligation, or placement of transjugular intrahepatic portosystemic shunts (TIPS).
Risk factor
A variable or attribute that increases the probability of developing a disease or injury. For example, obesity is a risk factor for type 2 diabetes mellitus and coronary artery disease.
#portalhypertension #portalhypertensionpathology #usmle #plab #nationalexittest #mbbs #portalhypertensionpathology #pathology #internalmedicine #neetpg #internalmedicine

[@harmianaaa]

This channel is my favourite these days for general medicine 👏🏻👏🏻👏🏻👏🏻

[@doctorbhanuprakash]

Tysm

[@Cass_i]

Very helpful. Really adds to my understanding of portal hypertension 😊

[@doctorbhanuprakash]

Tysm

[@pragyagupta3267]

Best!!!!

[@FingerprintingGurus]

Very, Very Helpful

[@jayaharshini6555]

Great sir

[@Debashish_Goswami16]

Best hospital for gastro enterology

[@divyasaini18]

Very informative ! Thankyou🙏

[@doctorbhanuprakash]

Glad it was helpful!

[@vinodsmita2017]

Thank you

[@_born_in_autumn_]

I have a presentation tomorrow.....I'm grateful this video exists thankyou !

[@doctorbhanuprakash]

Ur most welcome

[@misstrixie8744]

Outstanding presentation thank you for this video

[@doctorbhanuprakash]

ur most welcome

[@amalsingha1894]

Sir your lecture gives clear and deep knowledge.

[@doctorbhanuprakash]

Tysm

[@brigidkiptum6374]

Very informative!!🤗

[@doctorbhanuprakash]

Tysm

[@shahabuddin2796]

Good information thanks sir

[@doctorbhanuprakash]

Welcome

[@elliemartin5912]

Very helpful

[@doctorbhanuprakash]

Tysm

[@rtrt9208]

very interesting

[@doctorbhanuprakash]

Tysm

[@melisg.5868]

thank you very much

[@doctorbhanuprakash]

Most welcome

[@alihaiftikhar]

Can you provide us this video in a compiler notes form kindly? It is superb , I need it for my annual exam ❤

[@doctorbhanuprakash]

Yes, sure.

[@junaidansari557]

Nice explanation sir 🥰🥰🥰

[@doctorbhanuprakash]

Thanks and welcome

[@obiwan922]

Is it portal pressure > 6 mm Hg called portal hypertension or portal pressure Gradient > 6 mm Hg?

[@jayasimmannashitha4542]

Hi sir I am 30 years old. I have portal vein tortuous and esophagus varices it will curable or not. How long I lived. Plz reply sir

[@kannansivakumar1873]

With proper treatment u can live longer.

[@thisthatthis8058]

Hope you are still alive man