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differential hepatology cell gap gastroenterology globulin gradient hepatorenal hrs nephrology oncology plasmacytoma protein proteingap saag solitary syndrome
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... albumin gradient ... syndrome, Massive liver ... #hepatology #differential ... #diagnosis #algorithm
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup ... Algorithm • ... protein • Fluid albumin ... and serum albumin ... #hepatology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
diuretic-resistant ascites ... after 2 days of IV albumin ... - IV albumin ... transplant evaluation ... Hepatorenal #Syndrome #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 ... #differential #diagnosis
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
appearance Favored Sites ... common - GI tract, liver ... Diagnosis? ... Evaluation? ... #Workup #Hematology
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