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diagnosis differential hepatology ascites causes chemistry gap globulin gradient hepatorenal hrs hypertension interpretation lfts nephrology portal protein proteingap rvalue serum
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... ascites - Massive liver ... - Acute fatty ... liver of pregnancy
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Liver disease ... - Cirrhosis ... fibrosis - Acute ... fatty liver of ... #differential #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... INR, bilirubin, albumin ... /acute hepatitis ... sarcoidosis) • Liver ... Veno-occlusive disease
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
of cholestatic disease ... Production: • Albumin ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... #differential #Hepatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Total Protein - Albumin ... > 4) Work-up ... first step in evaluation ... Sarcoidosis) • Liver ... disease: Cirrhosis
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
disease: cirrhosis ... hepatitis, or acute ... after 2 days of IV albumin ... - IV albumin ... transplant evaluation
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