Esophageal varices
– Uphill: portal HTN w/↑ flow via L gastric (coronary)
v. into distal esophageal plexus
– Downhill: SVC obstruction w/collaterals through
azygous
– DDx: varicoid CA and lymphoma (no change
w/change in pt position/esophageal distension)
image cc wiley
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