9 results
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential Diagnosis ... Heart failure • Constrictive ... #Differential #Diagnosis ... #Algorithm #Hepatology
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Complications of Portal ... Hepatorenal syndrome • Ascites ... @drkeithsiau #Portal ... Complications #hepatology ... #diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Cirrhosis • Portal ... budd-chiari • CHF • Constrictive ... #Differential #Diagnosis ... Gradient #SAAG #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Portal hypertension ... failure - Constrictive ... Portal vein occlusion ... #Causes #diagnosis ... #differential #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential Diagnosis ... HTN: • Ascites ... heart failure and constrictive ... #causes #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... sinusoid with (ie Portal ... Hypertension): ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
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 ... #Diagnosis #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
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Portopulmonary Hypertension ... a patient with portal ... hypertension No ... Transthoracic echocardiogram ... #hepatology