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diagnosis hepatology ascites serum causes interpretation acutephasereactants algorithm analysis chemistry disease fluid gap globulin hepatobiliary hypertension laboratory lfts management paracentesis
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
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
gradient (SAAG) ... SAAG ≥ 1.1: ... syndrome, Massive liver ... #gradient #hepatology ... #differential #
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Alcoholic hepatitis ... Veno-occlusive disease - Acute ... ischemia/infarction #SAAG ... #Gradient #Differential
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 ... #Differential #
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... - Alcoholic hepatitis ... fibrosis - Acute ... Causes #diagnosis #differential ... #hepatology #SAAG
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... HTN: ascites (SAAG ... INR, bilirubin, albumin ... • Cirrhosis/acute ... hepatitis • Infiltrative
Hepatobiliary Manifestations of Sickle Cell Disease Acute sickle cell hepatic crisis: • Fever, acute onset RUQ pain,
hepatomegaly and anemia ... liver failure ... Liver transplant ... Hepatobiliary #hepatology ... #hepatitis #differential
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
: cell count + differential ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Management #Summary #Hepatology ... #SAAG #paracentesis
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
viral hepatitis ... viral hepatitis ... Production: • Albumin ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Acute-phase Reactants Synthesized in the Liver Positive acute-phase reactants (concentrations increase with acute inflammation) - Immune-related
Synthesized in the Liver ... Serum amyloid A (SAA ... Transthyretin (TBPA) - Albumin ... #Synthesized #Liver ... #Synthesis #Hepatology
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