12 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ... syndrome, Massive liver ... gradient #hepatology #differential ... #diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... either made in the liver ... or not by the liver ... Matherly @liverprof #Diagnosis ... Interpretation #Differential
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Liver disease ... - Acute fatty liver ... Mediterranean fever ... #Causes #diagnosis ... #differential #
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 ... #Serum #Ascites
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... cirrhosis or chronic ... #Differential #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... (SAAG>I.I), esophageal ... sarcoidosis) • Liver ... metastasis • Fatty liver
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... : cell count + differential ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... ULN • Protein: level
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
LFTs R-value: Serum ... > 2 • NASH, Chronic ... injury: > 3 • Chronic ... #chemistry #diagnosis ... #differential #
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Pain - Differential ... Diagnosis Algorithm ... Gastric cancer • Liver ... location/diffuse: • Ascites ... #Diagnosis #Algorithm
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Calculate serum ... correction of chronic ... include vaptans (HF/liver ... #Diagnosis #Treatment