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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table - Serum ... Diagnosis #Table #Serum ... Gradient #SAAG #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Fluid albumin and serum ... gastroenterology #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... albumin #gradient #hepatology
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
Pleural fluid/serum ... Pleural fluid/serum ... ratio < 0.6 - Serum-to-pleural ... Hydrothorax #diagnosis #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG - Serum ... liverprof #Diagnosis #Hepatology ... Ascites #Fluid #Serum
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... infarction #SAAG #Serum ... Differential #Diagnosis #hepatology
Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption
values <400 - Serum ... Hepatitis #Diagnosis #Hepatology
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
<400 IU/L • Serum ... Hepatitis #AH #hepatology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism
AST and ALT:
 • AST: liver
with albumin in serum ... AlkPhos #Bilirubin #Hepatology
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
considered include serum ... Referral #Management #Hepatology