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diagnosis hepatology management shock saag causes classification gradient algorithm bacterial overview peritonitis serum spontaneous treatment analysis curves fluid guyton hypertension
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 ... Ascites is either ... made in the liver ... or not by the liver ... Interpretation #Differential
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... and Management Ascites ... response Give IV albumin ... protein (< 1.5g/L) ascites ... dysfunction or liver
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
: cell count + differential ... culture • Serum-ascites-albumin-gradient ... hypertensive source • SBP ... ULN • Protein: level ... suggests higher SBP
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
if other signs (fever ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... dL and advanced liver
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) - Differential ... - Massive liver ... - Acute fatty liver ... #Differential #
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Classification and Differential ... SHOCK • MAP <65, SBP ... <90, drop in SBP ... Insufficiency, Liver ... Diagnosis #Types #criticalcare
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... INR, bilirubin, albumin ... sarcoidosis) • Liver ... metastasis • Fatty liver
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver ... #Diagnosis #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
neuraxial anesthesia), Liver ... pancreatitis, low albumin ... Shock #diagnosis #differential ... guyton #curves #criticalcare
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