7 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
) SAAG ≥ 1.1: ... syndrome, Massive liver ... Pancreatitis, Peritoneal ... gradient #hepatology #differential ... #diagnosis #algorithm
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Normal Peritoneum ... Liver disease ... - Acute fatty liver ... - Pseudomyxoma peritonei ... Causes #diagnosis #differential
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... #diagnosis #differential ... #ascites
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
either made in the liver ... or not by the liver ... albumin in the fluid ... #Ascites #Fluid ... Interpretation #Differential
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Total protein • Fluid ... • Calculate SAAG ... #Differential # ... Diagnosis #Algorithm
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
Low ascitic fluid ... , the differential ... neoplasms of the peritoneum ... diagnosis #workup #algorithm ... #differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... - Massive liver ... - Acute fatty liver ... <1.1 g/dl): - Peritoneal