25 results
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
(SAAG): > 1.1 g ... suggests portal hypertensive ... • Secondary Peritonitis ... Management #Summary #Hepatology ... #SAAG #paracentesis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Peritoneum Portal hypertension ... (SAAG > 1.1 g/dL ... - Myxedema (SAAG ... #differential #hepatology ... #SAAG
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... obstruction syndrome SAAG ... Tuberculosis #SAAG ... #gradient #hepatology
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Complications of Portal Hypertension ... Portopulmonary hypertension ... Hepatorenal syndrome • Ascites ... Spontaneous bacterial peritonitis ... Complications #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... • Calculate SAAG ... and check ascites ... gastroenterology #hepatology
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... Albumin Gradient (SAAG ... ) SAAG ≥ 1.1: ... #hepatology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis - Spontaneous ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... Runyon's Criteria: Ascitic ... #differential #ascites
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites ... Diagnosis #Management #SAAG ... Evaluation #SBP #Hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... with (ie Portal Hypertension ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites