33 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... #albumin #gradient ... #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

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

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... protein • Fluid albumin ... and serum albumin ... #Differential # ... gastroenterology #hepatology
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... syndrome (ST-HUS ... anemia" • HELLP syndrome ... #schistocytes #differential ... #diagnosis #hematology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient ... Ascites is either ... liverprof #Diagnosis #Hepatology ... Interpretation #Differential
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Framework for Hemolysis ... ) - HELLP syndrome ... uremic syndrome ... Extravascular #Causes #differential ... #diagnosis #hematology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... 8g per liter of ascites ... • Hepatorenal syndrome ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) - Differential ... thrombosis (Budd-Chiari syndrome ... #Differential # ... Diagnosis #hepatology
Isolated Hyperbilirubinemia - Differential Diagnosis Algorithm
Direct Hyperbilirubinemia: Dubin-Johnson Syndrome, Rotor Syndrome
Indirect Hyperbilirubinemia: 
 - Trauma, Hematoma,
Hyperbilirubinemia - Differential ... , Rotor Syndrome ... Count Abnormal: Hemolysis ... Hyperbilirubinemia #Isolated #Differential ... Diagnosis #Algorithm #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Fitz-Hugh-Curtis syndrome ... Chylous <1% #Ascites ... #Differential # ... Diagnosis #hepatology