12 results
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table - Serum ... Ascites Albumin ... Gradient (SAAG) ... < 1.1: • Nephrotic ... #Albumin #Gradient
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... ascites albumin ... gradient (SAAG) ... Biliary leak, Nephrotic ... #ascites #albumin
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... in the fluid • ... #Ascites #Fluid ... #Serum #Albumin
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
casts - Absent Serum ... albumin - Low ... casts - Present Serum ... albumin - Normal ... edgarvlermamd - Nephrology
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 ... #Albumin #Gradient
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Total protein • Fluid ... albumin and serum ... albumin • Aerobic ... • Calculate SAAG
Algorithm for the Treatment of Membranous Lupus Nephritis
Sub-nephrotic-range proteinuria (<3.5g/d, normal serum albumin) and Preserved kidney
Membranous Lupus Nephritis ... Sub-nephrotic-range ... 3.5g/d, normal serum ... albumin) and Preserved ... Treatment #management #nephrology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... cephalosporin + albumin ... Criteria: Ascitic fluid ... 50, LDH ULN for serum
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
differential, albumin ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... LVP > 5L: 25% albumin ... Summary #Hepatology #SAAG
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
85% of cases • Fluid ... /serum total protein ... /serum LDH ratio ... < 0.6 - Serum-to-pleural ... fluid albumin gradient