45 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... #albumin #gradient ... #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Albumin Gradient ... • Nephrotic syndrome ... #Serum #Albumin ... Gradient #SAAG #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... 8g per liter of ascites ... • Hepatorenal syndrome ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... Diagnosis #Algorithm #Hepatology ... #causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... and hepatorenal syndrome ... portal HTN: • Ascites ... INR, bilirubin, albumin ... #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... The most common causes ... more than one cause ... differential, albumin ... Differential #Diagnosis #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... Differential #Diagnosis #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... #Causes #diagnosis ... #differential #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
differential, albumin ... culture • Serum-ascites-albumin-gradient ... x PMN%) > 250 cells ... LVP > 5L: 25% albumin ... Management #Summary #Hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... - No other cause ... - No other cause ... #Hepatorenal #Syndrome ... HRSAKI #HRSNAKI #hepatology