10 results
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... either made in the liver ... or not by the liver ... Scott Matherly @liverprof
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... ascites albumin gradient ... syndrome, Massive liver ... ascites #albumin #gradient ... differential #diagnosis #algorithm
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... Algorithm • ... Fluid albumin and serum ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... ascites - Massive liver ... - Acute fatty liver ... #Serum #Ascites
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Assess volume status ... HYPERVOLEMIC • CHF • liver ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
Pregnancy • Outdoor worker ... Farmer and forestry work ... Meningitis, epidural abscess ... or intracranial abscesses ... Culture 3) Ag serum
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... cryoglobulin, serum ... marrow, Lymph node, Liver ... DrEricStrong #FUO #Algorithm
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Calculate serum ... Assess volume status ... include vaptans (HF/liver
Diagnostic flow-chart to assess and monitor disease severity in the presence of suspected NAFLD and metabolic
flow-chart to assess ... non-alcoholic fatty liver ... Steatohepatitis #Workup ... #Algorithm #Followup
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... 3 conditions, serum ... hormones that work ... #differential #algorithm