19 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Late Budd-Chiari syndrome ... , Massive liver ... #gradient #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Hepatic congestionl ... - Budd-Chiari syndrome ... Liver disease ... - Nephrotic syndrome ... #differential #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... either made in the liver ... or not by the liver ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Esophageal Varices • Hepatic ... • Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Fulminant hepatic ... failure - Hepatic ... ischemia/infarction #SAAG ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... (SAAG>I.I), esophageal ... and hepatorenal syndrome ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Fitz-Hugh-Curtis syndrome ... Disease, Fulminant Hepatic ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Hypertension - Hepatic ... disease • Acute liver ... Hypertension - Post-Hepatic ... Diagnosis #Algorithm #Hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... (SAAG): > 1.1 g ... ULN • Protein: level ... #Summary #Hepatology ... #SAAG #paracentesis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Ascites PMN > ... Presentation in septic ... protein (< 1.5g/L) ascites ... dysfunction or liver ... #hepatology