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diagnosis hepatology saag gradient algorithm causes interpretation management serum analysis bullous chemistry cirrhosis dermatology fluid fluidfilled hepatorenal hrs hypertension indications
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... albumin gradient ... syndrome, Massive liver ... #albumin #gradient ... #hepatology #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Albumin Gradient ... made in the liver ... or not by the liver ... liverprof #Diagnosis #Hepatology ... Interpretation #Differential
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... of ascites removed ... • Spontaneous Bacteria ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... and Management Ascites ... response Give IV albumin ... dysfunction or liver ... #Spontaneous #Bacterial
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... - Massive liver ... - Acute fatty liver ... #Differential # ... Diagnosis #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Liver disease ... - Acute fatty liver ... Infections - Bacterial ... Causes #diagnosis #differential ... #hepatology #SAAG
Fluid-filled Rash - Diagnostic Algorithm. Pustule: 1) Pustules more commonly suggest an infectious process (bacterial,
Fluid-filled Rash ... infectious process (bacterial ... #Diagnosis #Dermatology ... Bullous #Algorithm #Differential ... #Ddxof
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... sarcoidosis) • Liver
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Liver Chemistries ... Production: • Albumin ... disease: > 2 • NASH ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• ↓ Effective arterial ... diuretic-resistant ascites ... after 2 days of IV albumin ... - IV albumin ... Hepatorenal #Syndrome #Hepatology
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