23 results
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Ascites Albumin Gradient ... (SAAG) SAAG ... MatthewHoMD #Ascites #Differential ... Serum #Albumin #Gradient
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
ascites albumin gradient ... (SAAG) SAAG ≥ ... Tuberculosis #SAAG ... ascites #albumin #gradient ... #hepatology #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Ascites Albumin Gradient ... fibrosis) High SAAG ... Serum #Albumin #Gradient ... Interpretation #Differential
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... Hypoalbuminemia (SAAG ... 1.1 g/dL) - Chylous ... - Myxedema (SAAG ... Causes #diagnosis #differential
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Algorithm by A-a Gradient ... Normal A-a Gradient ... Hypoxemia #Hypoxia #Differential ... pulmonary #Aa #Gradient
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Calculate SAAG ... MatthewHoMD #Ascites #Differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... ) estimated by gradient ... HTN: ascites (SAAG ... #Hypertension #Differential
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Pancreatic, Biliary, Chylous ... <1% #Ascites #Differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Ascites Albumin Gradient ... (SAAG) - Differential ... Diagnosis High albumin gradient ... ischemia/infarction #SAAG ... #Differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Approach to the A-a Gradient ... A-a gradient = ... PAO2 - PaO2 A-a gradient ... A-a Gradient ≤ ... Hypoxia #hypoxemia #differential