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hepatology algorithm gradient management saag serum shock treatment aflp analysis bacterial causes chronic curves fatty fluid guyton hypertension interpretation obgyn
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... albumin gradient ... syndrome, Massive liver ... #albumin #gradient ... #hepatology #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Albumin Gradient ... made in the liver ... or not by the liver ... Matherly @liverprof #Diagnosis ... Interpretation #Differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Diagnosis High ... - Massive liver ... - Acute fatty liver ... #Differential #
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... INR, bilirubin, albumin ... sarcoidosis) • Liver ... metastasis • Fatty liver
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... develops (DIC, ascites ... Transfer to a liver
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Bacterial Peritonitis DIAGNOSTICS ... , abdominal pain ... as 10 days 2) Albumin ... dL and advanced liver ... Peritonitis #SBP #diagnosis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... #Diagnosis #criticalcare
Chronic Abdominal Pain - Differential Diagnosis Algorithm Constant / Chronic-Fleeting / Post-Prandial Upper Quadrant: • Peptic ulcer disease
Chronic Abdominal ... Pain - Differential ... Diagnosis Algorithm ... Gastric cancer • Liver ... location/diffuse: • Ascites
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
neuraxial anesthesia), Liver ... pancreatitis, low albumin ... Undifferentiated #Shock #diagnosis ... #differential # ... guyton #curves #criticalcare
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