1947 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... SAAG #ascites #albumin ... differential #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... #Table #Serum #Albumin
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... protein • Fluid albumin ... and serum albumin ... Differential #Diagnosis #Algorithm
Subtypes of Serum Proteins

Pre-albumin (Transthyretin)
Albumin
Globulins
 • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin),
Proteins Pre-albumin ... Transthyretin) Albumin ... Proteins #Subtypes #algorithm
Metabolism of Albumin and Causes of Hypoalbuminemia 

#Albumin #Hypoalbuminemia #Metabolism #Causes #pathophysiology
Metabolism of Albumin ... Hypoalbuminemia #Albumin
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Serum to Ascites Albumin ... designed to keep albumin ... likely to allow albumin ... • Aka not much albumin ... 1.1: • Ascites albumin
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm
Elevated Anion Gap > 12
Differential Diagnosis Algorithm ... anion gap for albumin ... drop of 10 for albumin ... Differential #Diagnosis #Algorithm
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
correct Ca for albumin ... + [0.8 x (4 - albumin
Albuminuria (Grades) and Risk for CKD
Normal to mildly increased albuminuria:
 - Albumin excretion rate: < 30
albuminuria: - Albumin ... - Albumin-to-creatinine ... Microalbuminuria): - Albumin ... - Albumin-to-creatinine ... proteinuria): - Albumin
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm
Normal Anion Gap (<14) (Loss of Bicarbonate) -
Differential Diagnosis Algorithm ... anion gap for albumin ... drop of 10 for albumin ... Differential #Diagnosis #Algorithm