19 results
Ascites - Differential Diagnosis and Workup Algorithm

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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... (SAAG) SAAG ... #Table #Serum #Albumin ... #hepatology
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 ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites ... Diagnosis #Management #SAAG ... Evaluation #SBP #Hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... 8g per liter of ascites ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
in Large-volume Paracentesis ... Prevention of Post-Paracentesis ... #Paracentesis # ... management #hepatology ... #ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... #differential #hepatology ... #SAAG