7676 results
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... cephalosporin • Albumin ... SBP #Diagnosis #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... INR, bilirubin, albumin ... Diagnosis #causes #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
protein • Fluid albumin ... and serum albumin ... gastroenterology #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
Subtypes of Serum Proteins

Pre-albumin (Transthyretin)
Albumin
Globulins
 • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin),
Proteins Pre-albumin ... Transthyretin) Albumin ... classification #Types #hematology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Metabolism of Albumin and Causes of Hypoalbuminemia 

#Albumin #Hypoalbuminemia #Metabolism #Causes #pathophysiology
Metabolism of Albumin ... Hypoalbuminemia #Albumin
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
correct Ca for albumin ... + [0.8 x (4 - albumin