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Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... Albumin Gradient ... Cirrhosis • Portal ... #SAAG #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Albumin Gradient ... sinusoid with (ie Portal ... liverprof #Diagnosis #Hepatology ... Serum #Albumin #Gradient ... Interpretation #Differential
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient ... SAAG ≥ 1.1: - Ascitic ... #albumin #gradient ... #hepatology #differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... ) estimated by gradient ... HTN: ascites (SAAG ... HTN: • Ascites ... Diagnosis #causes #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
- Differential ... failure - Hepatic ... syndrome) - Portal ... #Differential # ... Diagnosis #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Normal Peritoneum ... Portal hypertension ... Portal vein occlusion ... Causes #diagnosis #differential ... #hepatology #SAAG
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential ... Hypertension - Hepatic ... Hypertension - Post-Hepatic ... #Differential # ... Diagnosis #Algorithm #Hepatology
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Complications of Portal ... Hypertension • Hepatic ... hypertension, Hepatic ... Hepatorenal syndrome • Ascites ... Complications #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Disease, Fulminant Hepatic ... Chylous <1% #Ascites ... #Differential # ... Diagnosis #hepatology
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Hepatic Masses on ... MRI - Differential ... T2, Arterial, Portal ... #Masses #MRI #differential ... diagnosis #liver #hepatology