37 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Late Budd-Chiari syndrome ... Early Budd-Chiari syndrome ... Sinusoidal obstruction syndrome ... leak, Nephrotic syndrome ... gradient #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... • Nephrotic syndrome ... • Pancreatic ascites ... #Differential #
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... - Bile ascites ... Causes #diagnosis #differential
Meigs Syndrome - Diagnosis and Management Summary
Triad:
1) Pleural effusion + 
2) Ascites + 
3) Benign Ovarian
Meigs Syndrome - ... Diagnosis and Management ... effusion + 2) Ascites ... transudative • SAAG ... SCVMCMed #Meigs #Syndrome
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... at least 2): 1) Clinical ... Peritoneal #diagnosis #differential ... #ascites
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... Syndrome Chronic ... #Syndrome #PUBS ... pathophysiology #clinical ... #photo #differential
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... : cell count + differential ... (SAAG): > 1.1 g ... #Diagnosis #Management ... Summary #Hepatology #SAAG
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
conjunction with the clinical ... etiology, narrow the differential ... diagnoses, & design a management ... pleural #synovial #ascites
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... Albumin #Gradient #Differential