Portal hypertension differential diagnosis: Difference between revisions

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Revision as of 21:22, 27 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	Ascites	Pale conjunctiva	Physical Finding 3	Physical Finding 4	Finding 1	Finding 2	Finding 3	Finding 4	Other Findings
	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

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+! colspan="5" |Laboratory Findings
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 ! colspan="4" |History and Symptoms
 ! rowspan="2" |Other Findings
 |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
-!Lab Test 1
+!CBC
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+!ESR
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+!Alb
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Ascites]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Ascites]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant ascites|'''Malignant ascites''']]
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Splenomegaly]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Splenomegaly]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thalassemia|'''Thalassemia''']]
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hematemesis]]/ [[Melena]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hematemesis]]/ [[Melena]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peptic ulcer disease|'''Peptic ulcer disease''']]
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 |-
-|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[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''']]
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hydrothorax]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hydrothorax]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Malignancy]]'''
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Hypoxemia]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hypoxemia]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure|'''Heart failure''']]
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |[[Pulmonary hypertension]]
+| rowspan="3" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary hypertension]]
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pulmonary arterial hypertension|'''Idiopathic pulmonary arterial hypertension''']]
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Portal hypertension differential diagnosis: Difference between revisions

Revision as of 21:22, 27 October 2017

Overview

Differential Diagnosis

References

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