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diagnosis differential ascites gradient saag rheumatology algorithm chemistry cryofibrinogenemia hepatorenal hrs indications interpretation lfts liver rvalue sjogrens transaminitis treatment workup
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
SAAG ≥ 1.1: • Cirrhosis ... • Nephrotic syndrome ... • Malignancy ... #Serum #Albumin ... Gradient #SAAG #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
according to the serum ... ascites albumin ... protein ≤ 2.5 g/dL: Cirrhosis ... SAAG #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
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... >1.1 g/dl): - Cirrhosis ... ascites without cirrhosis ... - Nephrotic syndrome ... Differential #Diagnosis #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
common causes: cirrhosis ... one cause (e.g. cirrhosis ... differential, albumin ... perforation), Serum ... Differential #Diagnosis #hepatology
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
split products, albumin ... precipitate in serum ... Disorders: • Malignancy ... Antiphospholipid syndrome ... #hematology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
LFTs R-value: Serum ... Production: • Albumin ... hepatitis: < 1 • Cirrhosis ... • Gilbert's syndrome ... #differential #Hepatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
primary biliary cirrhosis ... Nephrogenic DI Hematologic ... phenomenon (16%) MSK ... and Arthritis Malignancy ... Diagnosis #Management
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... liver disease: cirrhosis ... Criteria): • ↑ Serum ... - IV albumin ... #Hepatology #Nephrology
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