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diagnosis hematology differential algorithm management causes treatment liver anemia clinical pathophysiology cirrhosis workup oncology syndrome thrombocytopenia table anticoagulation gastroenterology laboratory
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
protein • Fluid albumin ... and serum albumin ... gastroenterology #hepatology
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
cephalosporin • Albumin ... SBP #Diagnosis #Hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Serum Ascites Albumin ... #Table #Serum #Albumin ... Gradient #SAAG #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Serum to Ascites Albumin ... designed to keep albumin ... likely to allow albumin ... • Aka not much albumin ... liverprof #Diagnosis #Hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
serum ascites albumin ... SAAG #ascites #albumin ... #gradient #hepatology
Albumin Supplementation in Large-volume Paracentesis Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction • If LVP
Albumin Supplementation ... Paracentesis Administer albumin ... > 5L, give 25% albumin ... amount removed #Albumin ... Paracentesis #management #hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... ascites" Low albumin ... Serum #Ascites #Albumin ... Differential #Diagnosis #hepatology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism AST and ALT: • AST: liver
circulates with albumin ... Released from albumin ... AlkPhos #Bilirubin #Hepatology
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
differential, albumin ... Serum-ascites-albumin-gradient ... Administer albumin ... LVP > 5L: 25% albumin ... Management #Summary #Hepatology
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