27 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... ≤ 2.5 g/dL: Cirrhosis ... #gradient #hepatology ... differential #diagnosis #algorithm
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Workup Algorithm ... Ascites Management ... gastroenterology #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
- Direction of Blood ... determine the cause ... and direction of blood ... #diagnosis #hepatology ... #cirrhosis #obstruction
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... hypertension (SAAG ... disease - Cirrhosis ... #Causes #diagnosis ... #differential #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
albumin in the blood ... albumin to escape blood ... oncotic pressure Low ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... wall hernias (umbilical ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... Differential #Diagnosis #causes ... #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
Rostral Venous Flow ... In this case the ... away from the umbilicus ... direction #veins #cirrhosis ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... " Low albumin ... without cirrhosis ... Differential #Diagnosis #hepatology
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Principles Low ... @ebtapper #Ascites ... #Management #cirrhosis ... #hepatology