10 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ... Biliary leak, Nephrotic ... #gradient #hepatology ... #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... - Serum Ascites ... < 1.1: • Nephrotic ... #Table #Serum # ... #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... Algorithm • ... Fluid albumin and serum ... • Calculate SAAG ... #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... ≥ 1.1: • Aka not ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG ... #Serum #Albumin
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Algorithm Ascites ... Hepatic Hydrothorax AKI ... Cirrhosis, HRS-AKI ... Complications #diagnosis ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... without cirrhosis - Nephrotic ... #Serum #Ascites ... #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... protein, culture • Serum-ascites-albumin-gradient ... #Diagnosis #Management ... #Summary #Hepatology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... ultrasonography, serum ... • Interstitial nephritis ... #nephrology #causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... failure, Cirrhosis, Nephrotic ... #differential #diagnosis ... table #sodium #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Diagnosis (Clinical ... Criteria): • ↑ Serum ... diuretic-resistant ascites ... Hepatorenal #Syndrome #Hepatology ... #Nephrology #Diagnosis