7 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... and serum albumin ... • Calculate SAAG ... #gastroenterology ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... syndrome) - Portal ... Veno-occlusive disease - Acute ... associated with bowel ischemia ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... Preserved hepatic synthetic ... INR, bilirubin, albumin ... • Cirrhosis/acute ... Diagnosis #causes #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Mixed - Check Acute ... salts augment synthesis ... ALP - Due to synthesis ... Production: • Albumin ... #differential #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Differential Diagnosis Algorithm ... salts augment synthesis ... differential #diagnosis #algorithm ... #hepatology
Commonly Observed Laboratory Findings in Hepatic / Liver Failure
 - Elevated conjugated and unconjugated bilirubin -
Hypoalbuminemia - Decreased albumin ... synthesis - Elevated ... —100-fold with acute ... liver failure; ... LiverFailure #Hepatic #Hepatology
Acute-phase Reactants Synthesized in the Liver 
Positive acute-phase reactants (concentrations increase with acute inflammation)
 - Immune-related
Synthesized in the Liver ... Serum amyloid A (SAA ... Transthyretin (TBPA) - Albumin ... #Synthesized #Liver ... #Synthesis #Hepatology