Portal hypertension differential diagnosis: Difference between revisions

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Revision as of 13:27, 30 October 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Differential Diagnosis

Portal hypertension must be differentiated from other diseases that cause ascites, splenomegaly, hematemesis or melena, bacterial peritonitis, hydrothorax, hypoxemia, and pulmonary hypertension.
Portal hypertension must be differentiated from various diseases as in the following table.

Differentiating symptom	Diseases	Laboratory Findings							Physical Examination						History and Symptoms				Other Findings
	Diseases	CBC	ESR	Alb	Iron	Ascites fluid	PBS	Cr	Abdominal tenderness	Pale conjunctiva	Fever	Pitting edema	Apnea/ Baradypnea	Murmur	Weight loss	Weakness	Cough	Dyspnea	Other Findings
	Portal Hypertension	-	-	-	-	Transudate	-	↑	+	-	-	-	-	-	-	-	-	-	Cirrhosis
Ascites	Malignant ascites	-		+
	Nephrogenic ascites	-		+
	Tuberculosis	-		+
Splenomegaly	Thalassemia	-		+
	Sickle cell disease	-		+
	Hereditary spherocytosis	-		+
Hematemesis/ Melena	Peptic ulcer disease	-		+
	Mallory-Weiss tear	-		+
	Colorectal cancer	-		+
Bacterial peritonitis	Secondary bacterial peritonitis	-		+
Hydrothorax	Malignancy	-		+
	Sarcoidosis	-		+
	Nephrotic syndrome	-		+
Hypoxemia	Heart failure	-		+
	Central nervous system depression	-		+
	Muscular weakness	-		+
Pulmonary hypertension	Idiopathic pulmonary arterial hypertension	-		+
	Valvular heart disease	-		+
	Connective tissue diseases	-		+

References

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 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary arterial hypertension|'''Idiopathic pulmonary arterial hypertension''']]
+| style="background: #F5F5F5; padding: 5px;" | -
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 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Valvular heart disease|'''Valvular heart disease''']]
+| style="background: #F5F5F5; padding: 5px;" | -
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+| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
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 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Connective tissue diseases|'''Connective tissue diseases''']]
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Portal hypertension differential diagnosis: Difference between revisions

Revision as of 13:27, 30 October 2017

Overview

Differential Diagnosis

References

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