VTPP 423 Lecture Notes - Lecture 30: Hepatic Veins, Portal Vein, Vasodilation
17 Aug 2020
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Hepatic vein collects blood i gastric anime i i qq. ggegqg ftp. gas. fr p. Hepatic venous pressure gradient always cirrhosis also has portal hth lead to cirrhosis but every patient. Pathophysiology intrahepatic vasoconstriction splanchnic arteriolar flow order flow da 9 resistance at to a portal an already diseased in liver. Normal portal vein carries blood to liver from veins that drain splanchnic organs. Portal htn blood avoids portal vein and goes. Collaterals through u esophageal veins or splenic vein a coronary vein risk factors for hemmornage. L gastric variceal size decomp disease u red wale u hvpg 20mmhg treat w ligation g p blockers. Ascites permeability less leaky sinusoid can be caused by hepatic vein outflow block a portal vein block doesn"t cause ascites 1 can be caused by na h2o retention u due to blood vol. If serum ascites albumin gradient saag i 1 source of ascites is sinusoidal or post sinusoidal htn.
