11 results
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 and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
and serum albumin ... WBC and PMN • ... Calculate SAAG ... Diagnosis #Algorithm #gastroenterology ... #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
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%
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... disease - Cirrhosis ... carcinomatosis - Primary ... #differential #hepatology ... #SAAG
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 ... Diagnosis #causes #hepatology
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
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
organ damage Clinical ... or venipuncture sites ... Treatment: • Treat primary ... hydration • RBC ... treatment #management #hematology
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
overperfusion + decreased RBC ... of orthodeoxia CLINICAL ... • Stigmata of cirrhosis ... : jaundice, ascites ... #diagnosis #hepatology