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hepatology differential management albumin causes gradient algorithm complications hepatopulmonary hepatorenal hrs nephrology serum signs treatment criteria erythematosus esld findings gastrointestinal
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... ) SAAG ≥ 1.1: ... ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... #differential #diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table ... - Serum Ascites ... • Cirrhosis ... • Nephrotic syndrome ... #Differential #Diagnosis
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... - Nephrotic syndrome ... #Causes #diagnosis
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... #diagnosis #management
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential Diagnosis ... >1.1 g/dl): - Cirrhosis ... - Massive liver ... without cirrhosis
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... and hepatorenal syndrome ... portal HTN: • Ascites
Meigs Syndrome - Diagnosis and Management Summary Triad: 1) Pleural effusion + 2) Ascites + 3) Benign Ovarian
Meigs Syndrome - ... Diagnosis and Management ... effusion + 2) Ascites ... & mistaken for cirrhosis ... transudative • SAAG
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... cirrhosis or chronic ... Fitz-Hugh-Curtis syndrome
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential Diagnosis ... - Hepatic: • Cirrhosis ... disease • Acute liver ... #Differential #Diagnosis
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