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hepatology diagnosis ascites gradient serum ultrasound algorithm causes pathophysiology portal acutephasereactants aflp air analysis bearpaw blastomycosis dermatology fatty fluid gastroenterology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
gradient (SAAG) ... SAAG ≥ 1.1: ... syndrome, Massive liver ... Tuberculosis #SAAG ... #differential #
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Gradient (SAAG) ... SAAG ≥ 1.1: ... budd-chiari SAAG ... #Gradient #SAAG ... #hepatology
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 ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG ... gastroenterology #hepatology
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
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential ... - Acute fatty liver ... ischemia/infarction #SAAG ... #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... HTN: ascites (SAAG ... INR, bilirubin, albumin ... sarcoidosis) • Liver
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... : cell count + differential ... (SAAG): > 1.1 g ... #Summary #Hepatology ... #SAAG #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... cephalosporin + albumin ... at least 2): 1) Clinical ... Peritoneal #diagnosis #differential
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
infiltration) Differential ... Intrahepatic Cholestasis Management ... Maternal Support - Critical ... #Pregnancy #hepatology ... obgyn #diagnosis #management
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