Ospphageal Varices

Question 1

Accurate diagnosis of osophageal varices

Answer 1

Endoscopy

Question 2

Most common cause of PHT

Answer 2

Cirrhosis

Question 3

PHT diagnosed as portal pr..

Answer 3

> 12 mm Hg

Question 4

History of contact to water cancel suspect

Answer 4

Schistosomiasis → PHT

Question 5

Halematemesis + GI congestion + huge spleen

Answer 5

PHT

Question 6

The single most important sign of PHT

Answer 6

Splenomegaly

Question 7

Dilatation of portal V. And presence of shunt indicate

Answer 7

PHT

Question 8

Non invasive method to indicate PHT

Answer 8

Duplex Doppler ultrasonography
CT / MRI

Question 9

HVPG in PHT…=

Answer 9

> 10 mmhg

Question 10

To screen varies (most important)

Answer 10

Upper GI endoscopy

Question 11

Risk factor OV

Answer 11

Portal pressure >12
Vari X size and location
Cherry red spots
Child B

Question 12

General TTT of bleeding varices

Answer 12

Fluids / blood transfusion / vitamin K/ endoscopy

Question 13

Pharmacy TTT of bleeding varices

Answer 13

① octrotide
② vaso pressin
③ gly pressin
④ somatostatin

IV

Question 14

Interventional therapy of varices

Answer 14

① injection sclerotherapy
2 band ligation
③ glue (adhisive)
④ Tips
⑤ sungestaken- Blackmore

Question 15

Prophylaxis of non-bleeding varices

Answer 15

Beta blocker