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15 Cards in this Set
- Front
- Back
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categories of mullerian duct anomalies
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failure of development
failure of fusion failure of resorption |
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examples of MDA that are failure of development
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unicornuate uterus (1 side doesn't form)
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examples of MDA that are failure of fusion
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uterus didelphys
bicornuate uterus (see deep notch at fundus, never fused) |
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examples of MDA that are failure of resorption
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septate and arcuate uterus
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indications for TIPS
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recurrent refractory esoph variceal bleeding
intractable ascites |
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how to calculate MAP
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2/3 diastolic pressure + 1/3 diastolic pressure
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biggest predictor of mortality in TIPS
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MELD score (esp >25)
Total bili |
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how to determine if there is portal HTN in angio
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measure pressures at RA and portal vein
if >/=12 then portal HTN and pt should be tx'd with TIPS |
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goal of pressure reduction after TIPS
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RA-PV gradient should be btwn 6-12. (nml is 6)
don't reduce too low b/c of increased risk for enephalopathy |
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which vessel is stent placed across in TIPS
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RV connected to hepatic vein by stent
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most common site of thrombosis in TIPS
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HV/IVC jxn
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how to check potency of TIPS
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pressures/doppler can be checked at 1,3,6 months
check prox to stent, 3 places along stent and at HV/IVC jxn |
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what to think of if you see isolated splenic vein thrombosis
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pancreatitis or pancreatic CA
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what is isolated splenic vein thrombosis assoc with
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gastric varices
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what feeds into portal vein
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SMV
IMV splenic vein |
