11 results
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... and Management ... #Ascites #Workup ... #SAAG #Evaluation ... #SBP #Hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... ) SAAG ≥ 1.1: ... Nephrotic syndrome • Malignancy ... #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... • Calculate SAAG ... and check ascites ... gastroenterology #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... Extrahepatic source: Malignancy ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... - Myxedema (SAAG ... HIV-associated peritonitis Malignant ... #differential #hepatology ... #SAAG
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Ascites Workup ... Management Refractory ... Complications #diagnosis #management ... gastroenterology #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
causes: cirrhosis, malignancy ... disease: Cirrhosis, Malignancy ... concentration (malignancy ... #workup #Differential ... #Diagnosis #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... (SAAG): > 1.1 g ... #Diagnosis #Management ... #Summary #Hepatology ... #SAAG #paracentesis
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Restriction - Never Work-horse ... @ebtapper #Ascites ... #Management #cirrhosis ... #hepatology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
trauma, sepsis, malignancy ... or venipuncture sites ... causes #treatment #management ... #hematology