2421 results
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
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
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
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... very subtle intra-ascitic ... 869585940200796160 #Ascites ... #Complex #POCUS
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... 8g per liter of ascites ... terlipressin #Albumin
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... subcostal 4-chamber POCUS ... Answer: Ascites, ... effusion #s4c #POCUS ... echocardiogram #POCUS