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ultrasound clinical diagnosis hepatology abdominal differential complex management sbp saag gallbladder paracentesis peritonitis effusion gradient radiology algorithm bacterial causes cirrhosis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... albumin gradient ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... #albumin #gradient
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 ... 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
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
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... vein thrombosis (Budd-Chiari ... " Low albumin ... #Albumin #Gradient
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
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... 8g per liter of ascites ... terlipressin #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
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