II. Pathophysiology
- Liver Cirrhosis with Portal Hypertension
- Results from congenital patency of umbilical vessels
III. Symptoms and Signs
- Esophageal Varices
- 
                          Cirrhosis
                          - Ascites
- Splenomegaly
- Hypersplenism
 
- Skin- Caput medusae
- Large tortuous veins in abdominal wall
 
- Cardiovascular- Venous Hum at xiphoid process- Changes with Valsalva Maneuver
 
- Thrill at xiphoid process
 
- Venous Hum at xiphoid process
