Budd-chiari syndrome→ assoc w/hypercoaguable states - e.g. Polycythemia Vera, PNH, essential thrombocytosis; protein S, protein C, and antithrombin deficiency; factor V Leiden and prothrombin gene mutations
Risk Factors
Age 30-40
Symptoms
RUQ pain
New ascites
Jaundice
No findings chronic liver dz
Physical Exam Findings
Ascites
Tests
Ultrasound, with hepatic and portal flows
Assess for hypercoaguable state w/cbc, JAK-2 mutation (P vera)