Portal circulation.pptx

12,143 views 13 slides Nov 24, 2022
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About This Presentation

Lecture notes for medical students


Slide Content

Tips on using my ppt. You can freely download, edit, modify and put your name etc. Don’t be concerned about number of slides. Half the slides are blanks except for the title. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. At the end rerun the show – show blank> ask questions > show next slide. This will be an ACTIVE LEARNING SESSION x three revisions. Good for self study also. See notes for bibliography.

Portal Hypertension Anatomy

Portal Hypertension Anatomy Portal Circulation: Normally Arteries divide into capillaries. Capillaries coalesce to form veins. Veins drain into Rt. Atrium. This arrangement is present in whole of the body. But At some places:

Portal Hypertension Anatomy The vein again divides into capillaries then again coalesce to form a vein which drains into Right Atrium. This is termed as: PORTAL CIRCULATION This happens in: Hypothalamus pituitary axis and GI tract :- Portal vein.

Portal Hypertension Anatomy Portal Vein -- Forms behind neck of pancreas by union of Superior mesenteric and Splenic Veins. Travels in free edge of lesser omentum behind CBD and Hepatic artery. Enters liver.

Tributaries of Portal Vein

Tributaries of Portal Vein Coronary (Left Gastric) Pyloric Cystic Pancreatico-duodenal It carries 75% of blood supply to liver. It has no Valves

Portal Hypertension Anatomy

Portal Vein Collaterals Five Principle Routes Veins of Retzius Umbilical Vein Hemorrhoids Adhesions Esophageal Varices

Portal Vein Collaterals Site Portal vein Systemic vein Oesophageal Left Gastric, short Gastric Azygos Caput meduse (Cruveilhier-Baumgarten bruit) Umbilical and Paraumbilical v. Veins of Ant. Abd. Wall Rectum Superior Rectal Middle rectal Splenorenal Splenic left renal via Phrenic Retroperitoneal Mesenteric & peritoneal Veins of Retzius

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