Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Feb 13, 2013.
Spot the medical diagnosis
I would say it's portal hypertension. 1. Caput medusae. 2. ascites.
portal hypertension, caput medusae, ascites
Caput medusae, ascites
Caput medusae -> ascites
hepatopaty for possible cirrhosis and portal hypertension, ascitis and visceromegaly
This is not caput medusa. This is collateral circulation. Caput medusa is varicose periumbilical veins. This veins are going from lower abdomen to upper abdomen
Ascites. Patognomic sign caput medusae. In cause of portal hypertension.
caput medusa ,ascitis
Thank you Kave, you are right, I didn't notice the position of the patient's umbilicus. Thanks again
Sorry my fault. It is caput medusa.
In a relatively skiny person, we can see the tortuosity of the veins extending all the way to the umblicus ( like in the image u posted ) and in an obese patient the fat distribution becomes more pronounced as we get closer to the umblicus and hence the tortuosity appears to fade. Additionally the more larger or distended the abdomen is - the more parallel (than radiating) the veins seem to each other as we move away from the umblicus thereby giving the impression of collateral circulation.
Thanks so much, friend Neo_Star. I have never heard such an accurate explanation, just wow, excellent!!
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