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differential gradient causes management cell coagulation cryofibrinogenemia disseminated gastroenterology hypertension intravascular oncology paracentesis peritoneal peritonitis plasmacytoma portal rheumatology secondary solitary
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... according to the serum ... ascites albumin ... #ascites #albumin ... #gradient #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table ... - Serum Ascites ... Albumin Gradient ... ≥ 1.1: • Cirrhosis ... #SAAG #hepatology
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Algorithm • ... and serum albumin ... WBC and PMN • ... Calculate SAAG ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Differential Diagnosis ... #Serum #Ascites ... #hepatology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... (high SAAG) + ascites ... cephalosporin + albumin ... 50, LDH ULN for serum ... at least 2): 1) Clinical
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
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... SBP: PMN count (WBC ... #Summary #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
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
precipitate in serum ... 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 ... except for the primary ... • CBC + diff • ... • SPEP, UPEP, Serum ... #Workup #Hematology
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