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

Comparing Practice Intentions and Patterns of Family Physicians in Canada.

Oct 2023

DOI: 10.22454/FamMed.2023.996183 PMID: 37441758

In Canada, competency-based medical education prepares family medicine (FM) graduates to provide a broad scope of practice (SoP). We compared the practice intentions of FM residents at the end of trai... We collected self-reported data from cross-sectional family medicine longitudinal surveys for exiting FM residents in 2015 and 2016 and from a separate cohort of FPs who were 3 years into practice in ... A total of 1,409 exiting FM residents (58.2% response rate) and 523 early career FPs (21% response rate) responded to the surveys. A high correlation existed between the percentage of exiting resident... While SoP patterns are highly correlated with practice intentions, early-career FPs are less likely to provide care as intended for all SoP activities. Further research is needed on the factors influe...

Humans Physicians, Family Intention Cross-Sectional Studies Family Practice +2 autres

Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians: A Survey to Members of the Society of Critical Care Anesthesiologists.

01 02 2023

DOI: 10.1213/ANE.0000000000006160 PMID: 35950751

Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the ... Board-certified critical care anesthesiologists practicing in the United States were identified using the SOCCA membership distribution list and invited to take a voluntary online survey between May a... A total of 490 participants were invited to take this survey, and 157 (response rate 32%) surveys were completed and analyzed. The majority of respondents were White (73%), male (69%), and younger tha... These survey data provide a current snapshot of anesthesiology critical care clinical practice patterns in the United States. Our findings may inform decision-making around the initiation and expansio...

Humans Male Female United States Anesthesiologists +5 autres

The Association of Practice Type and the Scope of Care of Family Physicians.

08 02 2023

DOI: 10.3122/jabfm.2022.220172R1 PMID: 36460352

Comprehensiveness is a defining principle of primary care and Family Medicine but is declining in some settings. This study explores the relationship between practice setting and comprehensiveness amo... Using 2014 to 2016 American Board of Family Medicine survey data to generate scope of practice (SOP) scores (0 to 30) for FPs. We ran univariate and bivariate analyses for services by practice organiz... Among 25,117 total respondents, FPs at rural health centers (RHC) had the widest scope of practice (SOP score of 17.7) whereas FPs in federal, urgent care and other safety net clinics had the narrowes... Significant variation in FP comprehensiveness exists across different practice types. FPs in practice types commonly associated with large health systems had narrower breadth of practice, concerning a...

Pregnancy Infant, Newborn Humans Female United States +5 autres

Exploring physicians' perception of diagnostic information in clinical practice.

22 Feb 2023

DOI: 10.5867/medwave.2023.01.2665 PMID: 36820833

A well-informed diagnostic process results in better health outcomes and less overdiagnosis. While there have been studies conducted to explore doctors' knowledge, attitudes, and practice regarding di...

Humans Physicians Surveys and Questionnaires Perception Attitude of Health Personnel +2 autres

Worldwide practice patterns of percutaneous nephrolithotomy.

Aug 2022

DOI: 10.1007/s00345-022-04067-3 PMID: 35776174

To evaluate the current practice of percutaneous nephrolithotomy (PCNL), conducting a worldwide survey among urologists with a special interest in endo-urology.... A 22-question survey was specifically developed by the European Association of Urology (EAU) young academic urologists (YAU) and uro-technology (ESUT) groups and globally distributed via SurveyMonkey ... In total, 441 responses (male/female ratio - 418/23) were received. A comparatively higher percentage of specialists (56.2%) practiced in academic institutions and had specific endo-urological fellows... The majority of urologists still use prone positioning, get their own access under fluoroscopy guidance and use a balloon for tract dilation. However, we also identified that when necessary, urologist...

Female Humans Kidney Calculi Male Nephrolithotomy, Percutaneous +4 autres

Personal and Professional Physical Activity Practices among Sports Medicine Physicians.

01 Nov 2023

DOI: 10.1249/JSR.0000000000001117 PMID: 37921392

Less than a quarter of the population achieves the recommended Physical Activity Guidelines for Americans. Physicians who achieve the guidelines themselves may be more likely to promote them to patien...

Humans United States Counseling Exercise Physicians +3 autres

The practice of defensive medicine among Jordanian physicians: A cross sectional study.

2023

DOI: 10.1371/journal.pone.0289360 PMID: 37943831

Defensive medicine (DM) is a deviation from medical practice that is induced primarily by a threat of liability. While the DM behavior is well studied in the developed countries, little is known in de... To evaluate the prevalence of DM practice in Jordan among physicians and to investigate reasons behind its practice and potential strategies to alleviate this practice.... In this Cross-sectional study, self-administered questionnaire was distributed to a sample of physicians in both public and private sectors in Jordan. The collection period was from Jan 2021 to June 2... A total of 175 Jordanian physicians completed the survey. The prevalence of adopting (or witnessing) DM behaviors among the study sample was 68% (n = 119). Diagnostic laboratory exams followed by pres... Defensive medicine practice is common among Jordanian physicians with concerns about increasing pattern in the future....

Humans Cross-Sectional Studies Defensive Medicine Jordan Practice Patterns, Physicians' +2 autres

Audiology Clinical Practice Patterns in Acoustic Reflex Testing.

05 Dec 2022

DOI: 10.1044/2022_AJA-22-00070 PMID: 36356221

Periodic reports of audiology clinical practice patterns, including acoustic reflex threshold (ART) protocols, provide insights into trends and assist in clinical decision making. Therefore, the purpo... This study used a paper survey distributed by mail to a random sample of audiologists. Participants were 102 audiologists, representing diversity across age, clinical experience, and work setting. The... When ART testing is conducted, 100% of respondents conduct ipsilateral ART testing, compared to 75% for contralateral testing. Most use 500-, 1000-, and 2000-Hz stimulus frequencies, and 56% report 40... Fewer than half (43%) of participants conduct ART testing for all new patients, suggesting it is ancillary to the standard test battery for most participants. When ART testing is conducted, ipsilatera... https://doi.org/10.23641/asha.21513987....

Humans Audiology Practice Patterns, Physicians' Reflex, Acoustic Audiologists +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

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 (10000 au total)