17 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ... gradient (SAAG) ... ≤ 2.5 g/dL: Cirrhosis ... #gradient #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... - Serum Ascites ... Albumin Gradient ... ≥ 1.1: • Cirrhosis ... #Table #Serum #
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Differential Diagnosis ... >1.1 g/dl): - Cirrhosis ... #Serum #Ascites
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... Matherly @liverprof #Diagnosis ... #Serum #Albumin ... #Gradient #Interpretation
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... Fluid albumin and serum ... • Calculate SAAG ... #Differential #Diagnosis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... (high SAAG) + ascites ... 50, LDH ULN for serum ... Secondary #Peritoneal #diagnosis ... #differential #ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... disease - Cirrhosis ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... #Causes #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... ) estimated by gradient ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites
Meigs Syndrome - Diagnosis and Management Summary
Triad:
1) Pleural effusion + 
2) Ascites + 
3) Benign Ovarian
Meigs Syndrome - Diagnosis ... effusion + 2) Ascites ... & mistaken for cirrhosis ... transudative • SAAG ... Meigs #Syndrome #diagnosis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Diagnosis #Management ... Summary #Hepatology #SAAG