639 results
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 ... Gradient #SAAG #hepatology
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 ... #gradient #hepatology
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 ... ascites" Low albumin ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
INR, bilirubin, albumin ... pericarditis • Budd ... Diagnosis #causes #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
protein • Fluid albumin ... and serum albumin ... gastroenterology #hepatology
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 ... liverprof #Diagnosis #Hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
cephalosporin • Albumin ... SBP #Diagnosis #Hepatology
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 ... classification #Types #hematology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Thrombosis (MVT) Budd ... Circulation #Disorders #Hepatology