1032 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Cirrhosis, Late Budd-Chiari ... syndrome, Massive ... pericarditis, Early Budd-Chiari ... syndrome, IVC obstruction ... leak, Nephrotic syndrome
Budd Chiari Syndrome
Hepatic vein obstruction. Can be caused by thrombosis or sometimes a tumour. Can lead
Budd Chiari Syndrome ... #BuddChiari #Syndrome
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... • Nephrotic syndrome
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... Granular #Casts #clinical
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
• Vascular: Budd-chiari ... syndrome, Portal ... Sinusoidal obstruction syndrome
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag Syndrome ... Purple #Urine #Bag #Syndrome ... pathophysiology #clinical ... #photo #differential
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 ... Urine #Microscopy #Clinical
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Thrombosis (MVT) Budd ... Chiari Syndrome
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Liver Enzymes - Budd ... Chiari Syndrome
Drug Reaction with Eosinophilia and Systemic Signs (DRESS Syndrome): Formerly known as drug hypersensitivity reaction, DRESS
represents
Systemic Signs (DRESS Syndrome ... UCSD Catalog of Clinical ... Images #Clinical ... SkinRash #DRESS #Syndrome ... Eosinophilia #Legs #Photo