66 results
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Ascites Workup ... Algorithm Ascites ... Peritonitis (SBP) Hepatic ... Complications #diagnosis ... gastroenterology #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... SAAG ≥ 1.1: - Ascitic ... albumin #gradient #hepatology ... #differential # ... diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
liver sinusoid (hepatic ... the liver The hepatic ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG ... Interpretation #Differential
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... Disease, Fulminant Hepatic ... #Differential # ... Diagnosis #hepatology
Differential Diagnosis of Hepatic Abscess #Diagnosis #EM #IM #InfectiousDisease #Hepatic #Abscess #Differential #Hydatid #Amoeba #Algorithm #Ddxof
Differential Diagnosis ... of Hepatic Abscess ... #Diagnosis #EM ... #Abscess #Differential ... Amoeba #Algorithm #Ddxof
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential ... Diagnosis Algorithm ... Hypertension - Hepatic ... #Differential # ... #Hepatology #causes
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Hepatic congestionl ... - Massive hepatic ... #Causes #diagnosis ... #differential # ... hepatology #SAAG
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Hypertension • Hepatic ... hypertension, Hepatic ... Hepatorenal syndrome • Ascites ... Complications #hepatology ... #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... of portal HTN: ascites ... #Diagnosis #causes ... #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... #Differential # ... Diagnosis #Algorithm ... gastroenterology #hepatology