1334 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... gastroenterology #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Prevention of Post-Paracentesis ... #Paracentesis # ... management #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... differential, albumin ... ) Large-volume paracentesis ... Management #Summary #Hepatology ... #SAAG #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Day 3 repeat paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... #Table #Serum #Albumin ... Gradient #SAAG #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Serum to Ascites Albumin ... designed to keep albumin ... likely to allow albumin ... • Aka not much albumin ... liverprof #Diagnosis #Hepatology
Subtypes of Serum Proteins

Pre-albumin (Transthyretin)
Albumin
Globulins
 • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin),
Proteins Pre-albumin ... Transthyretin) Albumin ... classification #Types #hematology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
cephalosporin • Albumin ... SBP #Diagnosis #Hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... SAAG #ascites #albumin ... #gradient #hepatology