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diagnosis differential management algorithm gradient workup hepatopulmonary oncology serum syndrome treatment anemia biliary cell cholangitis classification coagulation cryofibrinogenemia dic disseminated
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... protein ≤ 2.5 g/dL: Cirrhosis ... #ascites #albumin ... #gradient #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Albumin Gradient ... (SAAG) SAAG ... ≥ 1.1: • Cirrhosis ... #Table #Serum #Albumin ... #hepatology
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
protein • Fluid albumin ... and serum albumin ... WBC and PMN • ... Calculate SAAG ... gastroenterology #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... disease - Cirrhosis ... carcinomatosis - Primary ... #Causes #diagnosis ... #differential #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 ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... without cirrhosis ... Differential #Diagnosis #hepatology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... (high SAAG) + ascites ... cephalosporin + albumin ... at least 2): 1) Clinical ... > 100 WBC, >50%
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... SBP: PMN count (WBC ... Management #Summary #Hepatology ... #SAAG #paracentesis
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... cholangitis • Primary ... Diagnosis #Algorithm #Hepatology ... #causes
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... differential, albumin ... Differential #Diagnosis #hepatology
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