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diagnosis gradient algorithm management serum aflp analysis fatty fluid gap globulin hematology hepatorenal hrs hypertension interpretation malignant nephrology obgyn obstetrics
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... syndrome, Massive liver ... #ascites #albumin ... #gradient #hepatology ... #differential #
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
made in the liver ... or not by the liver ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites ... Interpretation #Differential
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Acute fatty liver ... #differential # ... hepatology #SAAG
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Massive liver ... - Acute fatty liver ... Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
(SAAG>I.I), esophageal ... INR, bilirubin, albumin ... sarcoidosis) • Liver ... metastasis • Fatty liver ... #hepatology
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 ... (SAAG): > 1.1 g ... ULN • Protein: level ... Management #Summary #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential ... disease • Acute liver ... Diagnosis #Algorithm #Hepatology ... #causes
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
Common Malignancies That Cause Ascites The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
carcinomatosis or liver ... peritoneum or liver ... malnutrition or liver ... #Differential # ... Diagnosis #Hepatology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Occurs in advanced liver ... hepatitis, or acute liver ... • Definitive: Liver ... Treat underlying liver ... • Urgent liver
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