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diagnosis hepatology albumin causes gradient management serum aflp analysis chronic criticalcare distention fatty fluid gastroenterology hypertension interpretation mass obgyn obstetrics
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... syndrome, Massive liver ... gradient #hepatology #differential ... #diagnosis #algorithm
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
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... Liver disease ... - Acute fatty liver ... - Myxedema (SAAG ... Causes #diagnosis #differential
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Calculate SAAG ... #Differential # ... Diagnosis #Algorithm
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential ... - Massive liver ... - Acute fatty liver ... ischemia/infarction #SAAG
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... sarcoidosis) • Liver
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential ... Diagnosis Algorithm ... disease • Acute liver ... #Differential # ... Diagnosis #Algorithm
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... nausea, vomiting, abdominal ... develops (DIC, ascites ... infiltration) Differential
Chronic Abdominal Pain - Differential Diagnosis Algorithm Constant / Chronic-Fleeting / Post-Prandial Upper Quadrant: • Peptic ulcer disease
Chronic Abdominal ... Pain - Differential ... Diagnosis Algorithm ... Gastric cancer • Liver ... location/diffuse: • Ascites
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... Sophia_Hayes_MD #Shock #Differential ... #criticalcare #algorithm
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