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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Serum Ascites Albumin ... • Nephrotic syndrome ... MatthewHoMD #Ascites #Differential ... #Table #Serum #Albumin
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Serum to Ascites Albumin ... designed to keep albumin ... fibrosis) High SAAG ... 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 ... MatthewHoMD #Ascites #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
Metabolic Pathways of Purple Urine Bag Syndrome: Adopted from chart originally published in Purple Urine Bag
of Purple Urine Bag ... Syndrome: Adopted ... Syndrome: A Rare ... #Pathophysiology ... #Syndrome
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Deviation Casey Albin ... #Localization #ophthalmology ... #neurology #differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... HTN: ascites (SAAG ... and hepatorenal syndrome ... INR, bilirubin, albumin ... • Budd Chiari syndrome
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Chronic Diarrhea - Differential ... Irritable Bowel Syndrome ... Irritable Bowel Syndrome ... Screen with CBC, albumin ... Diarrhea #SmallBowel #Differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... #Gradient #Differential