Portal hypertension differential diagnosis: Difference between revisions
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Portal Hypertension''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Portal Hypertension''' | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| rowspan="3" |[[Ascites]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Ascites]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant ascites|'''Malignant ascites''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant ascites|'''Malignant ascites''']] | ||
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| 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;" rowspan="3" |[[Splenomegaly]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thalassemia|'''Thalassemia''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thalassemia|'''Thalassemia''']] | ||
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| rowspan="3" |[[Hematemesis]]/ [[Melena]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hematemesis]]/ [[Melena]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peptic ulcer disease|'''Peptic ulcer disease''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peptic ulcer disease|'''Peptic ulcer disease''']] | ||
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|[[Bacterial peritonitis]] | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Bacterial peritonitis]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Secondary bacterial peritonitis|'''Secondary bacterial peritonitis''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Secondary bacterial peritonitis|'''Secondary bacterial peritonitis''']] | ||
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| rowspan="3" |[[Hydrothorax]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hydrothorax]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Malignancy]]''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Malignancy]]''' | ||
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| rowspan="3" |[[Hypoxemia]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hypoxemia]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure|'''Heart failure''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure|'''Heart failure''']] | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| rowspan="3" |[[Pulmonary hypertension]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Pulmonary hypertension]] | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary arterial hypertension|'''Idiopathic pulmonary arterial hypertension''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary arterial hypertension|'''Idiopathic pulmonary arterial hypertension''']] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | |
Revision as of 21:18, 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
- 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 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | + |