26 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 ... , Massive liver ... #hepatology #differential ... #diagnosis #algorithm
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... (HPS) • Hepatorenal ... #diagnosis #management ... #summary #hepatology
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
- Ascites Formation ... Hyponatremia - Hepatorenal ... Syndrome - Spontaneous ... Pathophysiology #hepatology ... #liver
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Management ... of ascites removed ... antibiotics • Hepatorenal ... syndrome - 1g/ ... #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... and serum albumin ... WBC and PMN • ... #Differential # ... gastroenterology #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... SAAG ≥ 1.1: • Cirrhosis ... • Nephrotic syndrome ... Gradient #SAAG #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... encephalopathy, and hepatorenal ... syndrome Clues ... INR, bilirubin, albumin ... Diagnosis #causes #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 ... - Massive liver ... #Differential # ... Diagnosis #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... disease (cirrhosis ... Fitz-Hugh-Curtis syndrome ... Diagnosis #hepatology
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Decompensation • Ascites ... Alcoholic Hepatitis • Hepatorenal ... Syndrome • Prognostication ... Portosystemic Shunt • Liver ... diagnosis #treatment #management