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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Albumin Gradient (SAAG ... ) SAAG ≥ 1.1: ... budd-chiari SAAG ... Albumin #Gradient #SAAG ... #hepatology
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 ... #differential #
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... Causes #diagnosis #differential ... #hepatology #SAAG
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... #SAAG #Ascites ... Interpretation #Differential
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Calculate SAAG ... MatthewHoMD #Ascites #Differential ... gastroenterology #hepatology
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
intraluminal membranes on POCUS ... POCUS GB done. ... on sag image. ... distended: 20 cm sag ... #clinical #ultrasound
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... HTN: ascites (SAAG ... #Hypertension #Differential ... Diagnosis #causes #hepatology
U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-
- Sam Ghali @EM_RESUS ... #Clinical #POCUS ... Dislocation #Anterior #Comparison
Impacted Gallbladder Stone on POCUS
20's female with RUQ pain x 20 hrs. Has positive Murphy's. Vitals
Impacted Gallbladder ... Stone on POCUS ... U/S sag shown. ... cholelithiasis #POCUS ... #clinical #RUQ
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... at least 2): 1) Clinical ... Peritoneal #diagnosis #differential