8 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient ... Heart failure/constrictive ... #albumin #gradient ... #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... budd-chiari • CHF • Constrictive ... #Table #Serum #Albumin ... Gradient #SAAG #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient ... Ascites is either ... with (ie Portal Hypertension ... liverprof #Diagnosis #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Heart failure • Constrictive ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites ... Diagnosis #Algorithm #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... of portal HTN: ascites ... INR, bilirubin, albumin ... heart failure and constrictive ... Diagnosis #causes #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Peritoneum Portal hypertension ... failure - Constrictive ... - Bile ascites ... #differential #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
differential, albumin ... culture • Serum-ascites-albumin-gradient ... suggests portal hypertensive ... LVP > 5L: 25% albumin ... Management #Summary #Hepatology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Pathophysiology: • Portal hypertension ... diuretic-resistant ascites ... after 2 days of IV albumin ... - IV albumin ... Hepatorenal #Syndrome #Hepatology