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diagnosis management clinical differential hepatology ultrasound pocus algorithm pharmacology nephrology pathophysiology sites causes abdominal treatment comparison hematology paracentesis table action
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... albumin gradient ... SAAG ≥ 1.1: - Ascitic ... metastases - Ascitic ... #albumin #gradient
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient ... Ascites is either ... designed to keep albumin ... albumin is close
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... protein • Fluid albumin ... and serum albumin ... culture • Check ascites ... SAAG and check ascites
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Table - Serum Ascites ... Albumin Gradient ... • Pancreatic ascites ... #Table #Serum #Albumin
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... hepatitis - Cardiac ascites ... " Low albumin ... #Albumin #Gradient
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
(high SAAG) + ascites ... cephalosporin + albumin ... Runyon's Criteria: Ascitic ... #differential #ascites
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... differential, albumin ... culture • Serum-ascites-albumin-gradient ... Administer albumin ... LVP > 5L: 25% albumin
Albumin Supplementation in Large-volume Paracentesis Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction • If LVP
Albumin Supplementation ... Paracentesis Administer albumin ... > 5L, give 25% albumin ... amount removed #Albumin ... management #hepatology #ascites
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... of patients w/ ascites ... Failure Labs + Ascitic ... Uncomplicated ascites ... differential, albumin
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... 8g per liter of ascites ... terlipressin #Albumin
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