james note MCQ

12

13

14

How to predict bleeding risk from OV ,Secondary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of acute variceal bleeding ,Prevention of recurrent variceal bleeding

How to predict bleeding risk from OV ,Primary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of chronic variceal bleeding ,Prevention of recurrent variceal bleeding

How to predict bleeding risk from OV ,Primary prophylaxis against variceal bleeding ,Prevention of varices and first variceal bleeding ,Treatment of acute variceal bleeding ,Prevention of recurrent variceal bleeding

Hematemesis,

tarry stool

features of chronic liver disease (e.g. thrombocytopenia due to
hypersplenism)

hepatic encephalopathy (↑ ammonia due to breakdown of RBC)

dizziness

jaundice

red wale sign

Child's B$C cirrhosis

$ Platelet count (/mm3) to spleen size (maximum bipolar diameter by USG in mm)

$ Large varices

arising blood ammonia

$ Red wale sign (surface of varices is stretched)

ascite

$ Small varices + no red wale marks, no severe liver disease

Small varices + red wale marks/ severe liver disease

Large varices