6 results
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
to Ascites Albumin ... or not by the liver ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG ... #Serum #Albumin
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... - Differential Diagnosis ... - Massive liver ... #Ascites #Albumin ... #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Ascites PMN > 250 ... Presentation in septic ... response Give IV albumin ... dysfunction or liver ... #Management #hepatology
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
Hepatic Hydrothorax ... fluid albumin gradient ... may develop • Management ... TIPS, Liver transplant ... #Hydrothorax #diagnosis
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
or venipuncture sites ... DIC • Severe Liver ... #diagnosis #causes ... #treatment #management ... #hematology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
LFTs R-value: Serum ... Production: • Albumin ... • Coagulation ... replaced by non-hepatic ... #chemistry #diagnosis