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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... (SAAG) SAAG ... budd-chiari SAAG ... #SAAG #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
(SAAG) SAAG ≥ ... syndrome, Massive liver ... obstruction syndrome SAAG ... Tuberculosis #SAAG ... #hepatology #differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
(SAAG) - Differential ... - Alcoholic hepatitis ... Veno-occlusive disease - Acute ... ischemia/infarction #SAAG ... Diagnosis #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
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
Hypertension - Differential ... ) estimated by gradient ... HTN: ascites (SAAG ... • 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
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Viral infections (acute ... Sarcoidosis) • Liver ... Thalassemia, Sickle cell anemia ... inflammation (acute ... Gap #ProteinGap #differential