15 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient ... protein ≤ 2.5 g/dL: Cirrhosis ... syndrome, Massive liver ... #albumin #gradient
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... metastasis • Fatty liver
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Variceal Bleeding ... Portosystemic Shunt • Liver ... DeanEhrlich_MD #inpatient #Cirrhosis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... - Acute fatty liver ... #Causes #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... disease • Acute liver ... amzn.to/2LmUODZ #Ascites ... Algorithm #Hepatology #causes
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... - Massive liver ... - Acute fatty liver ... without cirrhosis
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... Abdominal Ultrasound - POCUS ... #Liver #Gallbladder ... #Gallstone #Ascites ... #Ultrasound #POCUS
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... heart failure, Liver ... cirrhosis, Nephrotic ... Diagnosis #radiology #POCUS
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... • Person who lives ... and no apparent focus ... accumulation (ascites ... fever #severity #classification
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
neuropsychiatric symptoms • Caused ... by liver insufficiency ... Prevalence: At cirrhosis ... Encephalopathy #Grading ... #Classification