Comment diagnostiquer le syndrome de Budd-Chiari ?

Le diagnostic repose sur l'échographie, l'IRM et des tests sanguins pour évaluer la fonction hépatique.

Quels tests sanguins sont utiles ?

Les tests incluent les marqueurs de la fonction hépatique et les tests de coagulation.

Quels signes cliniques indiquent ce syndrome ?

Les signes incluent l'ascite, la douleur abdominale et l'hypertrophie du foie.

L'échographie Doppler est-elle utile ?

Oui, elle permet d'évaluer le flux sanguin dans les veines hépatiques et de détecter des obstructions.

Quand envisager une biopsie hépatique ?

Une biopsie peut être envisagée si le diagnostic est incertain ou pour évaluer des lésions hépatiques.

Quels sont les symptômes courants ?

Les symptômes incluent fatigue, douleur abdominale, jaunisse et ascite.

La douleur abdominale est-elle fréquente ?

Oui, la douleur abdominale est un symptôme fréquent, souvent localisée dans la partie supérieure droite.

Qu'est-ce que l'ascite ?

L'ascite est l'accumulation de liquide dans la cavité abdominale, souvent causée par une hypertension portale.

La jaunisse est-elle un symptôme ?

Oui, la jaunisse, due à une accumulation de bilirubine, est un symptôme courant du syndrome.

Peut-on avoir des symptômes asymptomatiques ?

Oui, certains patients peuvent être asymptomatiques, surtout dans les formes chroniques.

Comment prévenir le syndrome de Budd-Chiari ?

La prévention inclut la gestion des facteurs de risque comme les troubles de la coagulation et l'obésité.

Les anticoagulants peuvent-ils prévenir ce syndrome ?

Oui, les anticoagulants peuvent prévenir les thromboses chez les patients à risque.

Quelles habitudes de vie adopter ?

Adopter une alimentation équilibrée, faire de l'exercice et éviter le tabac sont bénéfiques.

Les vaccinations sont-elles importantes ?

Oui, se faire vacciner contre l'hépatite peut réduire le risque de complications hépatiques.

Faut-il surveiller les maladies hépatiques ?

Oui, surveiller les maladies hépatiques et les troubles de la coagulation est crucial pour la prévention.

Quels traitements sont disponibles ?

Les traitements incluent des anticoagulants, des procédures endovasculaires et, dans certains cas, une transplantation hépatique.

Quand utiliser des anticoagulants ?

Les anticoagulants sont utilisés pour traiter les thromboses veineuses hépatiques et prévenir les complications.

Qu'est-ce qu'une procédure endovasculaire ?

C'est une intervention pour débloquer les veines hépatiques, souvent par angioplastie ou stenting.

Quand envisager une transplantation hépatique ?

La transplantation est envisagée en cas d'insuffisance hépatique sévère ou de complications irréversibles.

Y a-t-il des traitements symptomatiques ?

Oui, des traitements symptomatiques comme les diurétiques peuvent aider à gérer l'ascite.

Quelles sont les complications possibles ?

Les complications incluent l'insuffisance hépatique, la thrombose et l'hypertension portale.

L'insuffisance hépatique est-elle fréquente ?

Oui, l'insuffisance hépatique est une complication grave pouvant survenir dans ce syndrome.

Qu'est-ce que l'hypertension portale ?

L'hypertension portale est une augmentation de la pression dans la veine porte, causée par l'obstruction.

Peut-on avoir des complications à long terme ?

Oui, des complications à long terme comme la cirrhose peuvent se développer si non traitées.

Les complications peuvent-elles être évitées ?

Certaines complications peuvent être évitées par un traitement précoce et une surveillance régulière.

Quels sont les principaux facteurs de risque ?

Les facteurs incluent les troubles de la coagulation, l'obésité, et certaines maladies hépatiques.

L'obésité augmente-t-elle le risque ?

Oui, l'obésité est un facteur de risque connu pour le syndrome de Budd-Chiari.

Les maladies hépatiques sont-elles un risque ?

Oui, certaines maladies hépatiques, comme la cirrhose, augmentent le risque de ce syndrome.

Les contraceptifs oraux sont-ils un facteur ?

Oui, l'utilisation prolongée de contraceptifs oraux peut augmenter le risque de thrombose.

Le tabagisme influence-t-il le risque ?

Oui, le tabagisme peut contribuer à des problèmes vasculaires, augmentant le risque de thrombose.

Syndrome de Budd-Chiari - Informations médicales vérifiées

Attitudes and knowledge of myopia management by Spanish optometrists.

Nov 2023

DOI: 10.1007/s10792-023-02835-7 PMID: 37596425

To investigate the knowledge, training and clinical practice of Spanish optometrists about preventing and controlling myopia progression.... A web-based questionnaire was distributed to Spanish optometrists through social networks, optometric professional bodies and one of the major Spanish optometrists' associations to assess practitioner... A total of 534 optometrists with a mean age of 40.8 ± 10.3 years completed the survey. Most respondents have been practicing optometry for more than 20 years (89.8%), report having actively treated ch... Spanish optometrists are very active in the management of myopia, especially by fitting orthokeratology lenses or dual-focus soft contact lenses for myopia control, but there is still potential for im...

Humans Child Adult Middle Aged Optometrists +4 autres

Optometrist's perspectives of Artificial Intelligence in eye care.

2022

DOI: 10.1016/j.optom.2022.06.006 PMID: 36137899

The application of artificial intelligence (AI) in diagnosing and managing ocular disease has gained popularity as research highlights the utilization of AI to improve personalized medicine and health... Members of the American Academy of Optometry were sent an electronic invitation to complete a 17-item survey. Survey items assessed perceived advantages and concerns regarding AI using a 5-point Liker... A total of 400 optometrists completed the survey. The mean number of years since optometry school completion was 25 ± 15.1. Most respondents reported familiarity with AI (66.8%). Though half of optome... In this study, optometrists are optimistic about the use of AI in eye care, and willingness to incorporate AI in clinical practice also increased after the onset of the COVID-19 pandemic....

Humans Optometrists Artificial Intelligence COVID-19 Pandemics +1 autres

Nd:YAG Laser Capsulotomy: Efficacy and Outcomes Performed by Optometrists.

01 Oct 2023

DOI: 10.1097/OPX.0000000000002057 PMID: 37594749

An increasing number of optometrists are performing Nd:YAG laser capsulotomy procedures; however, there is limited published information on the outcomes of these procedures.... This study aimed to assess the efficacy and safety of capsulotomy procedures performed by optometrists.... Subjects diagnosed with posterior capsule opacification causing reduced vision and subjective visual complaints were recruited for this study. A baseline examination was performed to ensure that the s... Subjects' Snellen visual acuity improved from an average of 20/40 to 20/23 ( P < .001) with no complications of increased intraocular pressure, inflammation, visually significant lens pitting, macular... Based on the outcomes of this study, YAG laser capsulotomies are effective treatments to improve patient vision that can be safely and effectively performed by optometrists....

Humans Lens Capsule, Crystalline Lasers, Solid-State Optometrists Postoperative Complications +1 autres

Prescribing patterns for hyperopia: an insight of the optometrist perspective and practice.

28 May 2024

DOI: 10.1186/s12886-024-03496-5 PMID: 38807053

To investigate the current prescribing patterns for correcting hyperopia among optometrists in clinical practice in Saudi Arabia and compare those to current international guidelines. And explore the ... This cross-sectional study employed 30 items online survey that encompass demographic data, current practice and cycloplegia use, numerical response to indicate the minimum level of hyperopia at which... A total of 104 optometrists responded to the survey (52 females and 52 males). They recruited from 35 cities across Saudi Arabia. Out of total, 44% of them considered cycloplegic refraction essential ... There are some matches between the international guidelines and the practice patterns that followed by optometrists in Saudi Arabia, however, the optometrists did not report that they are following th...

Humans Hyperopia Male Female Cross-Sectional Studies +14 autres

Dry eye clinical practice patterns of UK optometrists.

10 2023

DOI: 10.1016/j.clae.2023.101889 PMID: 37455178

In light of the increased roles of optometrists working in primary care in the UK, this research study aimed to gain an insight into perceptions of dry eye disease (DED), knowledge and confidence in d... Links to an online survey were distributed to optometrists across the UK via optometry websites newsletters, conferences, and local optical committee data bases, between October 2021 and July 2022. Th... The survey was completed by 131 optometrists, with a broad range of experience, who reported examining 33.3 ± 31.0 dry eye patients per month. Forty-eight percent of respondents were involved in the p... Although dry eye disease was perceived to be an important condition, opinions varied widely regarding knowledge and confidence in diagnosis and management. Involvement in an extended service did not a...

Humans Optometrists Practice Patterns, Physicians' Dry Eye Syndromes Fluorescein +1 autres

Assessment of optometrists' referral accuracy and contributing factors: A review.

09 2023

DOI: 10.1111/opo.13183 PMID: 37395045

In the UK, ophthalmology has the highest number of outpatient appointments within the National Health Service. False-positive referrals from primary care are one of the main factors contributing to th... Of the 31 studies included in the review, 22 were retrospective analyses of referrals and appointments at the HES. Eight were prospective studies, and one used online clinical vignettes. Seven assesse... There was significant variation in referral accuracy across different ocular conditions, partly due to differences when defining accurate referrals. Optometrists working in primary care are generally ...

Male Humans Female Child Optometrists +6 autres

Culture is an optometrist: Cultural contexts adjust the prescription of social learning bifocals.

10 11 2022

DOI: 10.1017/S0140525X22001376 PMID: 36353864

The "prescription" of humans' social learning bifocals is fine-tuned by cultural norms and, as a result, the readiness with which the instrumental or conventional lenses are used to view behavior diff...

Child Humans Social Learning Imitative Behavior Learning +2 autres

Prescribing patterns of myopia control contact lenses among optometrists in Ireland.

05 2023

DOI: 10.1111/opo.13096 PMID: 36651759

This retrospective analysis of electronic medical record (EMR) data investigated the prescribing patterns of soft myopia control contact lens (MCCL) treatments since their introduction in Ireland in 2... Anonymised EMR data were sourced from 33 optometry practices in Ireland from 2017 to 2021 to determine the number of practices prescribing MCCLs to myopic children 5-18 years old. In MCCL-prescribing ... Overall, just 10 practices were found to prescribe MCCLs of any type. The Coopervision MiSight contact lens was used in 85% of all MCCL fittings with most other fits being off-label multifocals. The u... Clinician engagement in myopia management has increased in Ireland since the formal introduction of MCCLs, but more than two-thirds of practices included are yet to offer this form of myopia managemen...

Child Humans Child, Preschool Adolescent Optometrists +5 autres

Opting out of Medicare: Characteristics and differences between optometrists and ophthalmologists.

2024

DOI: 10.1371/journal.pone.0310140 PMID: 39250498

To determine the rate of Medicare opt-out among optometrists and ophthalmologists and to contrast the differences in the characteristics and geographic distribution of these populations.... A retrospective cross-sectional study.... Using a publicly available Centers for Medicare & Medicaid Services (CMS) data set, we collated data for ophthalmologists and optometrists who opted out in each year between 2005 and 2023. We calculat... Both annual and cumulative rate of ophthalmologist and optometrist opt-out from Medicare.... The estimated prevalence of Medicare opt-outs was 0.52% (77/14,807) for ophthalmologists and 0.38% (154/40,526) for optometrists. Ophthalmologists opting out were predominantly male (67.5%), had a lon... Few ophthalmologists and optometrists opt-out of Medicare but this trend has significantly increased since 2012. Of those who disenrolled from Medicare, 83% of ophthalmologists were in urbanized areas...

Humans Ophthalmologists United States Optometrists Male +5 autres

Three-year outcomes of an optometrist-led virtual clinic for new glaucoma referrals.

07 2023

DOI: 10.1111/opo.13124 PMID: 36930523

The purpose of this study was to describe and evaluate the outcomes of an optometrist-led virtual glaucoma clinic (VGC).... New patients referred to the glaucoma service who were consultant triaged as 'low risk' were assessed virtually by specialist-trained optometrists in the VGC and either discharged or monitored for a p... A total of 1710 new patients were seen in the clinic between 1 January 2014 and 31 December 2016. Of these, 1033 (60.4%) patients required no outpatient input in 3 years of follow-up. Additionally, 32... This optometrist-led VGC combined two aspects of novel service delivery to reduce the burden of glaucoma monitoring in outpatient departments and consolidate consultant contact to patients requiring m...

Humans Optometrists Intraocular Pressure Retrospective Studies Optometry +4 autres

Syndrome de Budd-Chiari : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Auteurs principaux

Sources (77 au total)