Portal Hypertension
The major consequence of cirrhosis
The external complications of portal hypertension
Portal hypertension - 2 years to death
On average, if you have portal hypertension, you have 2 years to live.
Portal hypertension is the cause of 90% of Cirrhosis complications.
Learn what the indicators are.
Learn what are the Beta blockers that Liver specialists use to control portal hypertension.
Learn about what blood test is an indicator of portal hypertension.
Learn about what the 17 indicators of portal hypertension are, and what are the medical treatments.
Portal hypertension is fully explained in Chapter 24.
portal Hypertension -
External Complications
ASCITES AND CAPUT MEDUSAE
Veins appear blue around the belly button
PORTAL HYPERTENSION EXTERNAL SYMPTOMS
This is one general guide
ENCEPHALOPATHY
Foggy brain
ESOPHAGEAL VARICES
If you have cirrhosis and portal hypertension, your GP should be asking you every time if you have these symptoms. There are stomach varices and rectal varices to consider as well.
ESOPHAGEAL VARICES
Taking c
OEDEMA IN ANKLES
Odema in ankles and feet
The internal complications
of portal hypertension
ESOPHAGEAL VARICES GRADING AND BAND LIGATION
This is assessed by doing an Upper Endoscopy - David has done 2 of these, including May 26.
DAVID'S PORTAL VEIN VELOCITY - DAVID'S ULTRASOUND IN MAY 23 - 15.8 CM/S - DANGERSOUSLY LOW, NEAR DEATH
Normal portel vein velocity = 15-40 cm/s
ENLARGED SPLEEN
When the spleen is > 12 cm
PARAUMBILICAL VEIN 5.2 MM
A sign of portal hypertension - David has now reversed this to 2.8mm and not outward flow, which has been reversed to normal.
PORTOSYSTEMIC COLLATERALS - DAVID ULTRASOUND IN OCT 23.
These have now been reversed. Another reversal by David.
HEPATOFUGAL FLOW
Hepatofugal flow is reversed flow in the portal vein, versus hepatopetal flow.
