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Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... • Cirrhosis • ... • Nephrotic syndrome ... • Malignancy ... #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... protein ≤ 2.5 g/dL: Cirrhosis ... #ascites #albumin ... #gradient #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... of Cirrhosis • ... • Hepatorenal syndrome ... #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... disease - Cirrhosis ... - Nephrotic syndrome ... HIV-associated peritonitis Malignant ... #differential #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... ascites without cirrhosis ... - Nephrotic syndrome ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... and hepatorenal syndrome ... INR, bilirubin, albumin ... • Budd Chiari syndrome ... Diagnosis #causes #hepatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome ... primary biliary cirrhosis ... phenomenon (16%) MSK ... and Arthritis Malignancy ... Rheumatology #Diagnosis #Management