A patient has hx (history) of chronic alcohol abuse and upon examination you notice distended paraumbilical...
A patient has hx (history) of chronic alcohol abuse and upon examination you notice distended paraumbilical veins (Caput Medusa) and ascites. Given your knowledge of the portacaval anastomosis, how are these signs explained.
Homework Answers
These signs are best explained by dilatation of the epigastric vein in the abdomen.This leads to swollen vein called as Caput Medusa. Portacaval anastomosis refers to the connection of the portal and Systemic circulation when a congestion occurs at this site .It can lead to dilated veins.These signs are due to portal hypertension .This portal hypertension leads to diversion of the blood flow to umbilical vein. This leads to accumulation of peritoneal fluid and causing ascites. These are the signs of liver failure.In this patient it is categorized as advanced alcoholic liver disease.
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A patient has hx (history) of chronic alcohol abuse and upon
examination you notice distended paraumbilical...
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