23. portale Hypertension Flashcards

(20 cards)

1
Q

(PHT)

häufigste Ursache in Europa

A

Leberzirrhose

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2
Q

(PHT)

häufigste Ursache weltweit

A

Schistosomiasis

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3
Q

(PHT)

Pathophysiologie

A

Ausbildung portokavaler Anastomosen

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4
Q

(PHT)

Ösophagusvarizen-Klassifikation

A

nach Paquet

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5
Q

(PHT)

Klassifikation nach Paquet

A

I-IV

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6
Q

(PHT)

Paquet I

A

Varizen aufs Ösophaguslumen

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7
Q

(PHT)

Paquet II

A

Varizen < 1/3 des Ösophaguslumens

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8
Q

(PHT)

Paquet III

A

Varizen < 1/2 des Ösophaguslumens

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9
Q

(PHT)

Paquet IV

A

Varizen > 2/3 des Ösophaguslumens

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10
Q

(PHT)

Komplikation

A

Ösophagusvarizenblutung

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11
Q

(PHT)

Ösophagusvarizenblutung: Therapie der Wahl

A

Vasokonstriktoren + Gummibandligatur

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12
Q

(PHT)

Vasokonstriktoren (3)

A
  • Terlipressin
  • Somatostatin
  • Octreotid
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13
Q

(PHT)

Gummibandligatur

A

endoskopische Ösophagusvarizenligatur

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14
Q

(PHT)

Befunde (4)

A
  • Ösophagusvarizen
  • Fundusvarizen
  • anorektale Varizen
  • Caput medusae
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14
Q

(PHT)

Bildgebung der Wahl

A

Sonografie der Leber

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15
Q

(PHT)

sonografischer Befund

A

Pfortadererweiterung > 13 mm

16
Q

(PHT)

Therapieplanung (2)

A
  • medikamentöse
  • interventionelle
17
Q

(PHT)

medikamentöse Therapie der 1. Wahl

18
Q

(PHT)

interventionelle Therapie der 1. Wahl

19
Q

(PHT)

TIPS

A

Transjugulärer Intrahepatischer Portosystemischer Shunt