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differential albumin causes gradient management algorithm serum afib analysis anticoagulation bacterial bariatric bypass chads2 chads2vasc checklist cirrhosis coagulation comparison complications
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... ) SAAG ≥ 1.1: ... syndrome, Massive liver ... #gradient #hepatology ... #differential #diagnosis
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup ... • Calculate SAAG ... #Differential #Diagnosis ... #Algorithm #gastroenterology ... #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... either made in the liver ... or not by the liver ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... Liver disease ... - Acute fatty liver ... #Causes #diagnosis ... #differential #hepatology
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation C Congestive Heart Failure 1 H Hypertension 1 A2 Age >75 2 D Diabetes Mellitus 1 S2 Stroke,
Abnormal renal/liver ... >2.3mg/dL) 1 Liver ... S Stroke 1 B Bleeding ... Anticoagulation #AFib #Diagnosis ... #Hematology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential Diagnosis ... - Massive liver ... - Acute fatty liver ... #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... #causes #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... and Management Ascites ... acceptable Upper Gl bleeding ... dysfunction or liver ... #Management #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Findings: • Bleeding ... or venipuncture sites ... DIC • Severe Liver ... #Coagulation #diagnosis ... treatment #management #hematology
VIBES Mnemonic - Cirrhosis Management Checklist V - Volume (Ascites, HRS) - Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
V - Volume (Ascites ... bactrim or FQ B - Bleeding ... - Ppx (non-bleeding ... Mnemonic #Management #Diagnosis ... #Hepatology #Gastroenterology
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