1353 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
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
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... terlipressin #Albumin ... Management #Cirrhosis #treatment
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
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
infection Mainstay of treatment ... vasoactive therapy + albumin ... 200mcg SQ TID) ALBUMIN ... 50 g/day of 25% albumin ... Diagnosis #Management #treatment
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
correct Ca for albumin ... + [0.8 x (4 - albumin
Albuminuria (Grades) and Risk for CKD
Normal to mildly increased albuminuria:
 - Albumin excretion rate: < 30
albuminuria: - Albumin ... - Albumin-to-creatinine ... Microalbuminuria): - Albumin ... - Albumin-to-creatinine ... proteinuria): - Albumin
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome Treatment ... expansion: • Albumin ... Hepatorenal #Syndrome #Treatment
Calcium Metabolism and management 

Satyendra Dhar MD, @DharSaty

#calcium #metabolism #hypocalcemia #hypercalcemia #albumin
hypercalcemia #albumin