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clinical diagnosis pathology microbiology urine nephrology differential algorithm management causes smear hepatology culture nejm crystals blood hematology rheumatology video casts
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
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
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... clinical #urine #microscopy
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
light granular/muddy ... granular, C and D: muddy ... #Casts #Urine #Microscopy
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Casts on Urine Microscopy ... coarse (c) and muddy ... #Casts #Urine #Microscopy
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... Nephro #Urine #Microscopy
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... fresh at time of microscopy ... renal disease • “Muddy ... contamination #Urine #Microscopy
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
Calcium Electrolyte Repletion Always correct Ca for albumin before deciding if it is abnormal
correct Ca for albumin ... + [0.8 x (4 - albumin
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