Gastric varices types. Gastro-esophageal varices type 1 extend along the lesser curvature. Gastro-esophageal varices type 2 extend into the fundus. Isolated gastric varices type 1 are in the fundus. Isolated gastric varices type 2 are in the antrum. See Post
Five main types of choledochal cysts according to Todani classification, type I: â—¦Ia: dilatation of extrahepatic bile duct (entire)
â—¦Ib: dilatation of extrahepatic bile duct (focal segment)
â—¦Ic: dilatation of the common bile duct portion of extrahepatic bile duct
â€¢type II: true diverticulum from extrahepatic bile duct
â€¢type III: dilatation of extrahepatic bile duct within the duodenal wall (choledochocoele)
â€¢type IV: next most commonâ—¦IVa: cysts involving both intra and extrahepatic ducts
â—¦IVb: multiple dilatations/cysts of extrahepatic ducts only
â€¢type V: multiple dilatations/cysts of intrahepatic ducts only (Caroli disease)
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Hematemesis-Hx of varices ()
Acute blood loss anemia-()
Alcohol abuse- () seizures.
Elevated INR with low platelets-likely secondary cirrhosis
Continue Protonix and Sandostatin drip, IV Rocephin
Monitor H&H > greater than 7.
Differential diagnosis includes gastric ulcer and esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Patient counseled on avoiding alcohol use. Thank you for consultation.
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Schedule an EGD, go under orders, then GI request for procedure. See Post
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