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diagnosis differential saag causes cirrhosis abdominal albumin caput direction flow gradient management medusae milking serum veins algorithm analysis blood checklist
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
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Complications of Portal ... Cardiomyopathy • Varices: Portal ... Hepatorenal syndrome • Ascites ... @drkeithsiau #Portal ... Complications #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Table - Serum Ascites ... Cirrhosis • Portal ... budd-chiari • CHF • Constrictive ... Gradient #SAAG #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Normal Peritoneum ... Portal hypertension ... failure - Constrictive ... Portal vein occlusion ... #differential #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... HTN: ascites (SAAG ... HTN: • Ascites ... heart failure and constrictive ... Diagnosis #causes #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient Ascites ... sinusoid with (ie Portal ... Hypertension): ... liverprof #Diagnosis #Hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted
Caput Medusae in Portal ... Hypertension ... #Hypertension # ... PhysicalExam #Milking ... veins #cirrhosis #hepatology
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 Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... g/dL suggests portal ... hypertensive source ... consider cardiac ascites ... Management #Summary #Hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow Vein Milking technique can be used
• Normal veins ... • Portal Hypertension ... : The normal physiology ... #Blood #Flow #physicalexam ... #diagnosis #hepatology
Common Malignancies That Cause Ascites The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
metastases causing portal ... hypertension. ... by portal hypertension ... • PORTAL HYPERTENSION ... Differential #Diagnosis #Hepatology
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