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differential hepatology causes albumin gradient interpretation serum algorithm analysis chemistry dic disseminated fluid intravascular lfts malignant management oncology portal rvalue
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
either made in the liver ... or not by the liver ... with (ie Portal Hypertension ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Peritoneum Portal hypertension ... Liver disease ... - Acute fatty liver ... #Causes #diagnosis ... #differential #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential Diagnosis ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... #causes #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential Diagnosis ... - Hepatic: • ... disease • Acute liver ... - Post-Hepatic: ... #Algorithm #Hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential Diagnosis ... - Massive liver ... failure - Hepatic ... #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
or venipuncture sites ... DIC • Severe Liver ... 100mg/dL) - Heparin ... #diagnosis #causes ... treatment #management #hematology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
• Albumin • Coagulation ... replaced by non-hepatic ... disease: > 2 • NASH ... #chemistry #diagnosis ... #differential #Hepatology
Common Malignancies That Cause Ascites The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
by portal hypertension ... or hepatic vein ... • PORTAL HYPERTENSION ... #Differential #Diagnosis ... #Hepatology #oncology
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