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differential causes management coagulation cryofibrinogenemia disseminated gastroenterology gradient hypertension intravascular oncology paracentesis plasmacytoma portal rheumatology solitary summary treatment workup
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... protein ≤ 2.5 g/dL: Cirrhosis ... #ascites #albumin ... #gradient #hepatology ... #algorithm
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Algorithm • ... paracentesis: • Cell ... WBC and PMN • ... Calculate SAAG ... #hepatology
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... SBP: PMN count (WBC ... #Summary #Hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... (SAAG>I.I), esophageal ... INR, bilirubin, albumin ... pregnancy • Primary ... #causes #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
organ damage Clinical ... Schistocytes, helmet cells ... Treatment: • Treat primary ... #Coagulation #diagnosis ... treatment #management #hematology
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
split products, albumin ... Primary (essential ... : • + Clinical ... skin necrosis • DIC ... hematology
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
plasmacytoma) Clinical ... appearance Favored Sites ... except for the primary ... • CBC + diff • ... #Workup #Hematology
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