32 results
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... #Ascites #Workup ... #Diagnosis #Management ... #SAAG #Evaluation ... #SBP #Hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... #gradient #hepatology ... #differential #diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

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

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... • Calculate SAAG ... #Differential #Diagnosis ... gastroenterology #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... - Nephrotic syndrome ... HIV-associated peritonitis Malignant ... #Causes #diagnosis ... #differential #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 ... Matherly @liverprof #Diagnosis ... #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 ... #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... • Hepatorenal Syndrom ... Complications #diagnosis ... #management #summary ... #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... 80% Underlying malignancy ... Fitz-Hugh-Curtis syndrome ... #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... and Differential Diagnosis ... causes: cirrhosis, malignancy ... #workup #Differential ... #Diagnosis #hepatology