108 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Late Budd-Chiari syndrome ... Early Budd-Chiari syndrome ... Sinusoidal obstruction syndrome ... leak, Nephrotic syndrome ... gradient #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... • Nephrotic syndrome ... #Differential # ... Diagnosis #Table
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... - Bile ascites ... Causes #diagnosis #differential
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... - Ascites Formation ... - Hepatorenal Syndrome ... #Cirrhosis #Pathophysiology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... culture • Check ascites ... • Calculate SAAG ... and check ascites ... #Differential #
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
out nephrotic syndrome ... , the differential ... obstruction, nephrotic syndrome ... This differential ... workup #algorithm #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... - Serum to Ascites ... Albumin Gradient Ascites ... fibrosis) High SAAG ... Interpretation #Differential
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... Syndrome Chronic ... #Syndrome #PUBS ... #pathophysiology ... clinical #photo #differential
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... Runyon's Criteria: Ascitic ... Peritoneal #diagnosis #differential ... #ascites
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... #Differential #