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diagnosis hepatology ascites algorithm causes interpretation acutephasereactants analysis chemistry fluid gap gastroenterology globulin hypertension laboratory lfts management paracentesis pathophysiology portal
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Albumin Gradient ... (SAAG) SAAG ... budd-chiari SAAG ... #Serum #Albumin ... #Gradient #SAAG
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
according to the serum ... gradient (SAAG) ... SAAG ≥ 1.1: ... #gradient #hepatology ... #differential #
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... fibrosis) High SAAG ... #SAAG #Ascites ... #Fluid #Serum #Albumin
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Alcoholic hepatitis ... ischemia/infarction #SAAG ... #Albumin #Gradient
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 ... - Alcoholic hepatitis ... - Myxedema (SAAG ... 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 ... INR, bilirubin, albumin ... Cirrhosis/acute hepatitis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
: cell count + differential ... , culture • 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 >
LFTs R-value: Serum ... Check Acute 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 ... Haptoglobin - Serum ... amyloid A (SAA) ... Transthyretin (TBPA) - Albumin ... #Synthesis #Hepatology
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