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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Cirrhosis • Portal ... budd-chiari • CHF • Constrictive ... pericarditis/tamponade ... Gradient #SAAG #hepatology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... in Constrictive ... Pericarditis ... the underlying diagnosis ... #Sign #PhysicalExam
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential Diagnosis ... Heart failure • Constrictive ... pericarditis ... #Differential #Diagnosis ... #Algorithm #Hepatology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... pericarditis. ... #Sign #physicalexam ... #diagnosis #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... on Echocardiogram ... JVP 15 cm ASA, Kussmaul's ... expiration not meeting diagnostic ... Echocardiogram #
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Portal hypertension ... failure - Constrictive ... pericarditis ... #Causes #diagnosis ... #differential #hepatology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... Most likely diagnosis ... + XRT tattoo = constrictive ... pericarditis 2/ ... Friedreichs #Neck #JVP #PhysicalExam
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... HTN: • Ascites ... heart failure and constrictive ... pericarditis ... #causes #hepatology
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... on Echocardiogram ... was enough to diagnose ... y descent and Kussmaul ... #Pericarditis #