Wk 24 cardiovascular atherosclerosis flashcards quizlet. See the complete profile on linkedin and discover dr. Although the differential diagnosis is extensive, alcoholic and viral. Najeeb lectures worlds most popular medical lectures.
All facilities to deal with liver injuries are available. Thanks for sharing such important information which is very useful. Cirrhosis a form of chronic liver failure is the most common cause of portal hypertension. Portal hypertension causes, symptoms, treatments, tests. Any obstruction or increased resistance to flow or, rarely, pathological increases in portal blood flow may lead to portal hypertension with portal pressures over 12 mm hg. Consultant gastroenterologist visiting faculty, gcs hospital 2. Dr najeeb lectures free download utorrent for windows last edited 120 weeks ago by jaydfinl.
Management of portal hypertension postgraduate medical. A serious condition, portal hypertension presents considerable clinical challenges due to the delicate nature of the impacted organs, veins, and vessels. Other causes of portal hypertension include blood clots in the portal vein, blockages of the veins that carry the blood from the liver to the heart, and a parasitic infection called schistosomiasis. Enter your email address to follow this blog and receive notifications of new posts by email. He graduated from ross university, roseau in 1998 and specializes in. Blood pressure regulation vascular physiology by dr. In cirrhosis, portal hypertension develops due to extensive fibrosis within the liver parenchyma causing increased vascular resistance. Surgical shunts selective shunts aim to decompress varices whilst maintaining portal hypertension to maintain portal flow to liver. Duplex spectral doppler sonogram of the portal vein same patient as in the previous image shows a bidirectional flow within the vein. Apr 27, 2019 he visited our college so i can tell u that he is quite a good teacher. I know there are some resources people recommend a lot and that dr. People like me who are from the indian subcontinent have no cause for complaint though. Portal hypertension management and treatment cleveland. The portal vein carries about 1500 mlmin of blood from the small and large bowel, spleen, and stomach to the liver at a pressure of 510 mm hg.
Portal hypertension can occur in a small proportion of patients with mild or no fibrosis and is associated with the extent of steatosis. Portal hypertension,liver cirrhosis,alcohol cirrhosis,bacteria peritonitis,esophageal varices,medicine,internal medicine,ftplectures,dr. He graduated from ross university, roseau in 1998 and specializes in cardiology and interventional cardiology. It all depends on how much time you have and where you are from. Lesion progression is sustained by interaction between modified lipoproteins, monocytederived macrophages, t lymphocytes and the normal cellular constituents of the arterial wall. Veins coming from the stomach, intestine, spleen, and pancreas merge into the. Portal hypertension wang wei general hospital of tianjin medical university. Pathophysiology of portal hypertension jaime bosch, m. Looks like a good deal but im being very conservative with my money for obvious reasons. Portal hypertension is an increase in the blood pressure within a system of veins called the portal venous system. Dr najeeb lectures free download utorrent for windows. Atherosclerosis is a chronic inflammatory response of the arterial wall initiated by injury to the endothelium. Lynx finds his pleasure in fast cars and even faster women, though this hasnt stopped him from protecting those he has. Cirrhosis of liver and portal hypertension dr manoj k ghoda m.
Free medical video on blood pressure regulation by dr. Read our list of emergency drugs used in casualty wards. Patients without portal hypertension do not develop ascites or edema. Najeeb lectures medical lectures videos if you found this video helpful then like, subscribe and share.
It can be difficult to maintain a reduction in portal blood pressure, but it is often possible to reduce the risk and severity of internal bleeding. Jul 20, 2012 in adults the pattern of portal hypertension is mostly intrahepatic, whereas the pattern is extrahepatic in children. Najeeb lectures profile on linkedin, the worlds largest professional community. I finish in 8 months and have started the vids at a faster playback speed and so far am satisfied with the content. Warren distal splenorenal shunt, the most commonly used for patients with refractory bleeding and good liver function.
Jan 05, 2009 portal hypertension wang wei general hospital of tianjin medical university. Portal hypertension has been reported in association with acquired and primary immune deficiencies without a comprehensive description of associated splenoportal axis abnormalities. Title portal hypertension thieme medical publishers. Well for starters nothings for free literally but that discussion is for another day. Worlds most popular medical lectures in 190 countries. His sense of humor and brilliant illustrations make everything stick well in your memory. A dilated portal vein diameter of greater than or 15 mm is a sign of portal hypertension, with a sensitivity estimated at 12. Can a liver flush help relieve the pressure on my portal vein. Watch our brand new video on mastering rh blood group system. The most common cause of portal hypertension is cirrhosis. From pathophysiology to the latest stateoftheart approaches, five major sections encompass.
Portal hypertension is defined as a hepatic venous pressure gradient. Cirrhosis secondary to alcohol abuse, ascites, encephalopathy, esophageal varices sp banding x 2 and sclerotherapy, htn, chf, 9 prior admissions to. Pham md good books by saying they cant stop reading them, well, i really could not stop reading. In cirrhosis, portal hypertension develops due to extensive fibrosis within the. Idiopathic non cirrhotic portal hypertension and spleno. Once the bleeding episode has been stabilized, treatment options are prescribed based on the severity of the symptoms and on how well your liver is functioning. Portal hypertension,liver cirrhosis,alcohol cirrhosis,bacteria peritonitis,esophageal varices,medicine,internal medicine,ftplectures, dr. This presentation is available on facebook gujarat gastro group 3. Signs of portal hypertension are present in 25% of patients at the time of diagnosis of nafld. Our specialists provide you with the best arrangements that are reasonable and in a userfriendly approach. So i was checked again the next year and they were now grade three so i underwent four banding procedures over the next four months to prevent a life threatening bleeding incident. Master medical sciences with crystal clear concepts.
He didnt go to school till matric and mainly based on self studies. Nov 05, 2017 portal hypertension,liver cirrhosis,alcohol cirrhosis,bacteria peritonitis,esophageal varices,medicine,internal medicine,ftplectures, dr. Ive had portal hypertension since i was a baby im 20 now, it was not caused by cirrhosis of the liver. I finish in 8 months and have started the vids at a faster playback speed and. Portal hypertension is treated by trying to reduce portal vein blood pressure so that the formation of new varices and the buildup of ascites are prevented as far as possible. Najeeb khan, md, a internist general des moines ia. He has a very heavy accent which can be off putting for some. We deal in settling gadgets like pc, console, tv and diverse devices. Geek squad offers help to settle all your broken gadgets whether electrical or modernized. On doppler ultrasonography, a slow velocity of portal vein are diagnostic of portal hypertension.
He married when was in 4th year of mbbs after being rejected by a psycatrist who was. He has clarified everything from the coagulation cascade, immunology, neurology, and embryology. Decompresses ge varices thru short gastrics, spleen, splenic vein to left renal vein. Nov 30, 2017 duplex spectral doppler sonogram of the portal vein same patient as in the previous image shows a bidirectional flow within the vein. The list is made according to india with detailed drug class and uses. Ojeas works in pasadena, tx and 2 other locations and specializes in gastroenterology and internal medicine. Hyperplastic characteric of malignant hypertension.
Portal hypertension is an increase in the pressure within the portal vein, which carries blood from the digestive organs to the liver. The most common cause is cirrhosis of the liver, but thrombosis clotting might also be the cause. What are the treatment options for portal hypertension. Najeeb ahmed, md is a cardiology specialist in springfield, oh and has been practicing for 19 years. The final diagnosis was hepatitis c cirrhosis, hepatocellular carcinoma of the left hepatic lobe which had ruptured into the peritoneum, and portoarterial fistula which had developed inside the ruptured tumor, giving rise to severe portal hypertension. Najeeb lectures are the worlds most popular medical lectures. Portal hypertension is most commonly caused by cirrhosis, a disease that results from scarring of the liver. Medical lectures on basic medical sciences and clinical medicine by dr.
It can be difficult to maintain a reduction in portal blood pressure, but it is often possible to. Practitioners focus on the stomach, physician in houston, tx. Ojeas a subspecialty certification by the board of internal medicine. Surgery for liver diseases commonly includes surgery for benign lesions like hydatid cyst surgery which is mainly done laparoscopically. An img physician herself, najeeb has been conducting education research to enhance our understanding around challenges and issues surrounding img education and training. In adults the pattern of portal hypertension is mostly intrahepatic, whereas the pattern is extrahepatic in children. Lynx if his charming half smile doesnt knock you off your feet than his witty one liners will. Other causes of portal hypertension include blood clots in the portal vein, blockages of the veins that carry the blood from the liver to the heart, and a. We have a good blood bank with all component facilities.
The final diagnosis was hepatitis c cirrhosis, hepatocellular carcinoma of the left hepatic lobe which had ruptured into the peritoneum, and portoarterial fistula which had developed inside the ruptured tumor, giving rise to severe portal. Portal hypertension is hypertension high blood pressure in the hepatic portal system made up of the portal vein and its branches, that drain from most of the intestine to the liver. Prevalence and indicators of portal hypertension in. A character who started off as an ass has actually turned out to be only kind of an ass. Prevalence and indicators of portal hypertension in patients.
Esophageal varicies are another symptom of portal hypertension. Find the life saving drugs in cardiology, respiratory, git, obstetrics, painkillers, allergy, cns and antibiotics. Portal hypertension is defined when the gradient between the portal and systemic venous blood pressure exceeds 5 mmhg. Although the past several years have seen tremendous progress in both the understanding and clinical management of portal hypertensiona major complication of cirrhosismany new therapies and pathogenic principles are now emerging that will lead to vastly. Oms1 starting systems tomorrow and was wondering what you all think of dr. S trying to sharpen up my basic sciences studying for step1 and was wondering what you guys had to say about najeeb. The effects of portal hypertension can be managed through diet, medications, endoscopic therapy, surgery, or radiology. Incoming m1 here i was looking into someways to supplement my lecture learning during m1. Portal hypertension has been reported in association with acquired and primary immune deficiencies without a comprehensive description of associated spleno portal axis abnormalities. Smooth muscle of the media has undergone hypertrophy of the intima concentric ring formation.