67 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... Cirrhosis, Late Budd-Chiari ... syndrome, Massive liver ... pericarditis, Early Budd-Chiari ... #albumin #gradient
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... - Massive liver ... vein thrombosis (Budd-Chiari ... - Acute fatty liver
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... pericarditis • Budd ... sarcoidosis) • Liver
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... #Table #Serum #Albumin
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 ... made in the liver ... or not by the liver
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
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... paracentesis (>5 liter ... ) - 8g per liter ... of ascites removed ... terlipressin #Albumin
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Pancreatitis - Elevated Liver ... Enzymes - Budd ... Enteropathy -> Ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... insufficiency - Budd-Chiari ... Liver disease ... - Acute fatty liver ... - Bile ascites
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... disease • Acute liver ... pericarditis • Budd-Chiari ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites