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diagnosis hepatology differential management gradient paracentesis algorithm causes peritonitis sbp serum spontaneous treatment abdominal bacterial complications pathophysiology serumascitesalbumingradient syndrome workup
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... #ascites #albumin
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Albumin Gradient ... (SAAG) SAAG ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... #Table #Serum #Albumin
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Diagnosis High albumin ... vein thrombosis (Budd-Chiari ... ischemia/infarction #SAAG
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... INR, bilirubin, albumin ... pericarditis • Budd
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG ... and check ascites
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... hypertension (SAAG ... insufficiency - Budd-Chiari ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... cephalosporin + albumin ... Runyon's Criteria: Ascitic ... #differential #ascites
Ascites - Workup and Management #Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites ... Diagnosis #Management #SAAG
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
differential, albumin ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... LVP > 5L: 25% albumin ... Summary #Hepatology #SAAG
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