27 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... protein ≤ 2.5 g/dL: Cirrhosis ... syndrome, Massive liver ... gradient #hepatology #differential ... #diagnosis #algorithm
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... cirrhosis or chronic ... #Differential #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... of portal HTN: ascites ... #Diagnosis #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential ... Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... disease • Acute liver ... #Differential #
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... #physicalexam #cirrhosis ... #liver #disease ... #signs #diagnosis
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
conjunction with the clinical ... etiology, narrow the differential ... diagnoses, & design ... pleural #synovial #ascites ... thoracentesis #paracentesis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Liver disease ... - Cirrhosis ... - Acute fatty liver ... #Causes #diagnosis ... #differential #
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... #Liver #Gallbladder ... #Gallstone #Ascites ... #Ultrasound #POCUS ... #Clinical #Abdominal
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... at least 2): 1) Clinical ... Secondary #Peritoneal #diagnosis ... #differential # ... ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... cirrhosis w ascites ... care center for diagnostic ... and tx paracentesis ... #POCUS #SBP #clinical