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hepatology differential albumin saag interpretation algorithm analysis causes cell chemistry fluid hydrothorax hypertension lfts oncology plasmacytoma portal pulmonary rvalue solitary
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... according to the serum ... gradient (SAAG) ... syndrome, Massive liver ... #hepatology #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG - Serum ... Gradient Ascites ... or not by the liver ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... - Differential Diagnosis ... - Massive liver ... failure - Hepatic ... #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... ) estimated by gradient ... of portal HTN: ascites ... portal HTN: • Ascites ... #causes #hepatology
Hepatic Hydrothorax • Presents as right sided in 85% of cases • Fluid studies:
Hepatic Hydrothorax ... fluid albumin gradient ... TIPS, Liver transplant ... #Hydrothorax #diagnosis ... #hepatology #pulmonary
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
LFTs R-value: Serum ... replaced by non-hepatic ... disease: > 2 • NASH ... #chemistry #diagnosis ... #differential #Hepatology
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
“soap bubble” appearance ... Favored Sites ... common - GI tract, liver ... • SPEP, UPEP, Serum ... #Workup #Hematology
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