Portal hypertension case studies

These are systolic and diastolic blood pressure; systolic being the maximum pressure by which heart would pump blood in your arteries and diastolic being the minimum pressure by which your heart is refilling. High blood pressure is a medical condition that would qualify as pressure above and above would be prehypertension. For a more detailed diagnosis on what your blood pressure readings indicate about your health you can refer to the these resources and consult a doctor for appropriate diagnosis.

Portal hypertension case studies

Print Diagnosis Pulmonary hypertension is hard to diagnose early because it's not often detected in a routine physical exam. Even when the condition is more advanced, its signs and symptoms are similar to those of other heart and lung conditions.

To diagnose your condition, your doctor may review your medical and family history, discuss your signs and symptoms, and conduct a physical examination. Doctors may order several tests to diagnose pulmonary hypertension, determine the severity of your condition and find out the cause of your condition.

Sound waves can create moving images of the beating heart. An echocardiogram can help your doctor to check the size and functioning of the right ventricle, and the thickness of the right ventricle's wall.

Portal hypertension case studies

An echocardiogram can also show how well your heart chambers and valves are working. Doctors may also use this to measure the pressure in your pulmonary arteries. In some cases, your doctor will recommend an exercise echocardiogram to help determine how well your heart and lungs work under stress.

In this test, you'll have an echocardiogram before exercising on a stationary bike or treadmill and another test immediately afterward. This could be done as an oxygen consumption test, in which you may have to wear a mask that assesses the ability of your heart and lungs to deal with oxygen and carbon dioxide.

Other exercise tests may also be done. These tests can help determine the severity and cause of your condition. They may also be done at follow-up appointments to check that your treatments are working. A chest X-ray can show images of your heart, lungs and chest. This test can show enlargement of the right ventricle of the heart or the pulmonary arteries, which can occur in pulmonary hypertension.

This test can also be used to identify other conditions that may be causing pulmonary hypertension. This noninvasive test shows your heart's electrical patterns and can detect abnormal rhythms. Doctors may also be able to see signs of right ventricle enlargement or strain. After you've had an echocardiogram, if your doctor thinks you have pulmonary hypertension, you'll likely have a right heart catheterization.

This test can often help confirm that you have pulmonary hypertension and determine the severity of your condition. During the procedure, a cardiologist places a thin, flexible tube catheter into a vein in your neck or groin. The catheter is then threaded into your right ventricle and pulmonary artery.

Right heart catheterization allows your doctor to directly measure the pressure in the main pulmonary arteries and right ventricle. It's also used to see what effect different medications may have on your pulmonary hypertension. Your doctor might order blood tests to check for certain substances in your blood that might show you have pulmonary hypertension or its complications.

Blood tests can also test for certain conditions that may be causing your condition. Your doctor might order additional tests to check the condition of your lungs and pulmonary arteries and to determine the cause of your condition, including: Computerized tomography CT scan.

During a CT scan, you lie on a table inside a doughnut-shaped machine. CT scanning generates X-rays to produce cross-sectional images of your body. Doctors may inject a dye into your blood vessels that helps your arteries to be more visible on the CT pictures CT angiography.Assessment of Liver Function and Diagnostic Studies Joseph Ahn, M.D., M.S.

Assistant Professor of Medicine Medical Director, Liver Transplantation. Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated.

High blood pressure usually does not cause symptoms. Long-term high blood pressure, however, is a major risk factor for coronary artery disease, stroke, heart failure, atrial fibrillation, peripheral vascular disease, vision. Abstract. Esophageal varices are the major complication of portal hypertension.

It is detected in about 50% of cirrhosis patients, and approximately 5–15% of cirrhosis patients show newly formed varices or worsening of varices each year.

Case List Disclaimer: Review of the case(s) is intended for educational purposes ONLY, NOT for research. Imaging studies of patients with portal hypertension are helpful to make a diagnosis and to define portal venous anatomy.

Duplex doppler ultrasonography is a noninvasive, low-cost method of diagnosis that provides sophisticated information.

Esophageal varices is good possibility to explain the bleeding, but this diagnosis won't really address the issue of his pain. Varices result from venous portal hypertension, most often secondary to cirrhosis of the liver. although so called "cryptogenic" (hidden or undiagnosed) cirrhosis is a possibility it's is unlikely. Assessment of Liver Function and Diagnostic Studies Joseph Ahn, M.D., M.S. Assistant Professor of Medicine Medical Director, Liver Transplantation. Case Study Vascular Cirrhosis liver with portal hypertension Case Study Details A 43 year old cirrhotic patient was referred for management of recurrent bleeding secondary to portal hypertension.

Case details-1 A 45 year-old-female suffering from bronchial asthma was brought to emergency in a critical state with extreme difficulty in breathing.

Case study | American Journal of Hypertension | Oxford Academic