Portal Hypertension – signs

Signs of portal hypertension:

  • ascites
  • splenomegaly
  • caput medusae
  • venous hum
  • haematemesis

Causes of portal hypertension:

Pre-hepatic

  • portal vein compression – lymphadenopathy
    • lymphoma
    • carcinoma
  • portal vein thrombosis – PRV, etc.
  • umbilical sepsis

Intra-hepatic

  • cirrhosis
  • veno-occlusive disease
  • sarcoid, lymphoma, leukemic infiltrate
  • congenital hepatic fibrosis
  • schistosomiasis

Post-hepatic

  • hepatic vein obstruction – Budd-Chiari syndrome
  • congestive cardiac failure / constrictive pericarditis
  • tricuspid incompetence

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