67 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Cirrhosis, Late Budd-Chiari ... syndrome, Massive liver ... pericarditis, Early Budd-Chiari ... gradient #hepatology #differential ... #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... ) SAAG ≥ 1.1: ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... MatthewHoMD #Ascites #Differential
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... Liver disease ... - Acute fatty liver ... Causes #diagnosis #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... either made in the liver ... or not by the liver ... fibrosis) High SAAG ... Interpretation #Differential
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Calculate SAAG ... MatthewHoMD #Ascites #Differential ... #Diagnosis #Algorithm
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... HTN: ascites (SAAG ... pericarditis • Budd ... sarcoidosis) • Liver ... metastasis • Fatty liver
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Diagnosis Algorithm ... Non-Malignant • Fatty Liver ... Heart Failure • Budd-Chiari ... #Diagnosis #Algorithm
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Injury - Differential ... Hepatic Vein: Budd-Chiari ... #Injury #Differential ... Causes #Acute #algorithm
Hepatocellular Liver Injury - Differential Diagnosis Framework:
Liver Injury → liver test abnormalities without evidence of liver
Injury - Differential ... Injury Differential ... Ischemic, Congestion, Budd ... #Injury #Differential ... Diagnosis #hepatology #algorithm
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites - Differential ... Diagnosis Algorithm ... disease • Acute liver ... pericarditis • Budd-Chiari ... #Diagnosis #Algorithm