15 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... protein ≤ 2.5 g/dL: Cirrhosis ... #albumin #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
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... of Cirrhosis • ... 8g per liter of ascites ... #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... wall hernias (umbilical ... differential, albumin ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... Schistosomiasis • Veno-occlusive ... #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
determine the cause ... Normal veins: Umbilicus ... Obstruction: The venous ... physicalexam #diagnosis #hepatology ... #cirrhosis #obstruction
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... due to sepsis (umbilical ... or secondary to cirrhosis ... post-sinusoidal: Veno-occlusive ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... >1.1 g/dl): - Cirrhosis ... thrombosis - Veno-occlusive ... without cirrhosis ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... Differential #Diagnosis #Algorithm ... #Hepatology #causes
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
Demonstrating Rostral Venous ... In this case the ... away from the umbilicus ... direction #veins #cirrhosis ... #hepatology