16. Age & PHT India Children Adults West - Children Anand A C et al. Yachha et al Goncalves M E
17. Age & PHT ICH & HC Chennai, 1999 - 2001 Total Number 165
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23. Evaluation of various forms of portal hypertension Enlarged / firm / nodular Decreased vol / firm / nodular Firm Normal or Small volume Liver + + + ++ + + Spleen + / - + - - Encephalopathy +++ ++ - - Pedal oedema + + + + + 5% - 10% 5% - 10% Ascites + / - + ++ Well tolerated ++ Well tolerated GI Bleed All ages All ages 18-25 Children & occ. adults Mean age (years) HVOO Cirrhosis NCPF EHPVO Parameter
24. Features EHPVO NCPF CIRRHOSIS HVOO Centrilobular necrosis, fibrosis Reversed lobulation Necrosis, nodules fibrosis Normal / Peri Portal fibrosis Normal Liver biopsy Liver enlarged Hepatic vein thrombosis or IVC obstruction Liver coarse echoes Collaterals dilated PV ascites Splenomegaly Patent dilated PV splenomegaly collaterals PV thrombosis Cavernoma Collaterals Splenomegaly US T P decreased Glob increased (Chronic) T.P decreased Glob increased Normal Normal T. Protein A/G ratio + + + Back vein ++ + / - - / few veins on lumbar region Anterior Abdominal Veins