33 results
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... and Management ... #Ascites #Workup ... #SAAG #Evaluation ... #SBP #Hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... syndrome, Massive liver ... #gradient #hepatology ... #differential #
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... ) SAAG ≥ 1.1: ... • Serositis (infection ... #Differential # ... #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Liver disease ... < 1.1 g/dL) Infections ... Mediterranean fever ... Causes #diagnosis #differential ... #hepatology #SAAG
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... • Calculate SAAG ... #Differential # ... gastroenterology #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
or not by the liver ... source: Malignancy, Infection ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites ... Interpretation #Differential
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Restriction - Never ... Work-horse Diuretic ... @ebtapper #Ascites ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... ischemia/infarction #SAAG ... Albumin #Gradient #Differential ... #Diagnosis #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Approach and Differential ... Cell count and differential ... culture bottles (infection ... #workup #Differential ... #Diagnosis #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... : cell count + differential ... (SAAG): > 1.1 g ... ULN • Protein: level ... #Summary #Hepatology