Portal hypertension differential diagnosis: Difference between revisions

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{{Portal hypertension}}
{{Portal hypertension}}
{{CMG}}; {{AE}}
{{CMG}}; {{AE}}
{{PleaseHelp}}


==Overview==
==Overview==


==Differential Diagnosis==
==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.
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="3" |Differentiating symptom
! rowspan="2" |Diseases
! colspan="4" |Laboratory Findings
! colspan="4" |Physical Examination
! colspan="4" |History and Symptoms
! rowspan="2" |Other Findings
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!Lab Test 1
!Lab Test 2
!Lab Test 3
!Lab Test 4
!Physical Finding 1
!Physical Finding 2
!Physical Finding 3
!Physical Finding 4
!Finding 1
!Finding 2
!Finding 3
!Finding 4
|-
|'''Portal Hypertension'''
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| rowspan="3" |[[Ascites]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant ascites|'''Malignant ascites''']]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |
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|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Renal|Nephrogenic]] [[ascites]]'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |
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|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tuberculosis|'''Tuberculosis''']]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |
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|-
| rowspan="3" |[[Splenomegaly]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thalassemia|'''Thalassemia''']]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sickle cell disease|'''Sickle cell disease''']]
| style="background: #F5F5F5; padding: 5px;" |
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|[[Hereditary spherocytosis|'''Hereditary spherocytosis''']]
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| rowspan="3" |[[Hematemesis]]/ [[Melena]]
|[[Peptic ulcer disease|'''Peptic ulcer disease''']]
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|[[Mallory-Weiss tear|'''Mallory-Weiss tear''']]
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|[[Colorectal cancer|'''Colorectal cancer''']]
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|[[Bacterial peritonitis]]
|[[Secondary bacterial peritonitis|'''Secondary bacterial peritonitis''']]
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| rowspan="3" |[[Hydrothorax]]
|'''[[Malignancy]]'''
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|[[Sarcoidosis|'''Sarcoidosis''']]
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|[[Nephrotic syndrome|'''Nephrotic syndrome''']]
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| rowspan="3" |[[Hypoxemia]]
|[[Heart failure|'''Heart failure''']]
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|[[CNS depression|'''Central nervous system depression''']]
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|[[Muscular weakness|'''Muscular weakness''']]
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| rowspan="3" |[[Pulmonary hypertension]]
|[[Pulmonary arterial hypertension|'''Idiopathic pulmonary arterial hypertension''']]
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|[[Valvular heart disease|'''Valvular heart disease''']]
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|[[Connective tissue diseases|'''Connective tissue diseases''']]
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==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 21:04, 27 October 2017

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

Overview

Differential Diagnosis

Differentiating symptom Diseases Laboratory Findings Physical Examination History and Symptoms Other Findings
Lab Test 1 Lab Test 2 Lab Test 3 Lab Test 4 Physical Finding 1 Physical Finding 2 Physical Finding 3 Physical Finding 4 Finding 1 Finding 2 Finding 3 Finding 4
Portal Hypertension
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

Template:WH Template:WS

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