71 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
- Differential Diagnosis ... • Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... (SAAG): > 1.1 g ... HershShroff #Ascites #Diagnosis ... Summary #Hepatology #SAAG ... #paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential Diagnosis ... Serum Ascites Albumin ... Gradient (SAAG) ... #Differential #Diagnosis ... #Table #Serum #Albumin
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... serum ascites albumin ... gradient (SAAG) ... #ascites #albumin ... #differential #diagnosis
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
distention #ascites #SAAG ... serumascitesalbumingradient #paracentesis
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
for Performing Diagnostic ... Paracentesis #Diagnosis ... #Indications #Paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Peritonitis #SBP #diagnosis
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites #Workup #Diagnosis ... #Management #SAAG