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diagnosis differential clinical causes management algorithm neurology physicalexam nephrology video cardiology pathophysiology treatment table pocus hematology comparison pharmacology signs symptoms
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
protein ≤ 2.5 g/dL ... Late Budd-Chiari syndrome ... protein ≥ 2.5 g/dL ... Early Budd-Chiari syndrome ... leak, Nephrotic syndrome
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... (SAAG > 1.1 g/dL ... - Budd-Chiari syndrome ... (SAAG < 1.1 g/dL ... - Nephrotic syndrome
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... out nephrotic syndrome ... for exudative ascites ... obstruction, nephrotic syndrome
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Table - Serum Ascites ... • Nephrotic syndrome ... • Pancreatic ascites ... MatthewHoMD #Ascites
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... Creatinine by 0.3 mg/dL ... • Cirrhosis + ascites ... - Cirrhosis + ascites ... #Hepatorenal #Syndrome
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
(high SAAG) + ascites ... Runyon's Criteria: Ascitic ... protein > 1 g/dL ... #differential #ascites
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Sinusoidal obstruction syndrome ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... amzn.to/2LmUODZ #Ascites
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Pathophysiology - Ascites ... - Hepatorenal Syndrome
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hepatopulmonary syndrome ... Renal: Hepatorenal syndrome ... • Ascites: Spontaneous
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