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diagnosis differential hepatology ascites clinical microscopy casts urine nephrology gradient granular management muddybrown serum algorithm causes interpretation scrotal ultrasound aa
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Serum Ascites Albumin ... Gradient (SAAG) ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... #Table #Serum #Albumin
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... #ascites #albumin
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Serum to Ascites Albumin ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
light granular/muddy ... granular, C and D: muddy
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... coarse (c) and muddy
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... Diseased Peritoneum (SAAG
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Diagnosis High albumin ... vein thrombosis (Budd-Chiari ... ischemia/infarction #SAAG
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