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differential causes management coagulation disseminated gastroenterology gradient hypertension intravascular paracentesis peritoneal portal secondary spontaneous summary treatment
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
Diagnosis and Workup ... Algorithm • ... WBC and PMN • ... Calculate SAAG ... #hepatology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
• Cirrhosis ( ... high SAAG) + ascites ... cephalosporin + albumin ... at least 2): 1) Clinical ... Secondary #Peritoneal #diagnosis
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... disease - Cirrhosis ... carcinomatosis - Primary ... #diagnosis #differential ... #hepatology #SAAG
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... culture • Serum-ascites-albumin-gradient ... SBP: PMN count (WBC ... • Secondary Peritonitis ... #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 ... Treatment: • Treat primary ... hydration • RBC ... #Coagulation #diagnosis ... treatment #management #hematology
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