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diagnosis differential hepatology causes management ascites algorithm nephrology gastroenterology gradient interpretation liver treatment buddchiari disorders hematology injury serum signs summary
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
serum ascites albumin ... gradient (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
Serum Ascites Albumin ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... • Nephrotic syndrome ... #Table #Serum #Albumin
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... vein thrombosis (Budd-Chiari ... syndrome) - Portal ... cirrhosis - Nephrotic syndrome ... ischemia/infarction #SAAG
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... and hepatorenal syndrome ... INR, bilirubin, albumin ... pericarditis • Budd ... Chiari syndrome
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Serum to Ascites Albumin ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... syndrome ... - Nephrotic syndrome ... - Myxedema (SAAG
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
Between Nephrotic Syndrome ... and Nephritic Syndrome ... == Nephrotic Syndrome ... Absent Serum albumin ... Present Serum albumin
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
differential, albumin ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... LVP > 5L: 25% albumin ... Summary #Hepatology #SAAG
Meigs Syndrome - Diagnosis and Management Summary Triad: 1) Pleural effusion + 2) Ascites + 3) Benign Ovarian
Meigs Syndrome - ... transudative • SAAG ... SCVMCMed #Meigs #Syndrome
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