11 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... protein • Fluid albumin ... and serum albumin ... #Differential #Diagnosis ... gastroenterology #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Albumin Gradient ... Nephrotic syndrome • Malignancy ... #Table #Serum #Albumin ... Gradient #SAAG #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Albumin Gradient ... Ascites is either ... Extrahepatic source: Malignancy ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... and Differential Diagnosis ... differential, albumin ... #workup #Differential ... #Diagnosis #hepatology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... trauma, active malignancy ... - No other workup ... #hematology #diagnosis ... #algorithm #hematology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... - Differential Diagnosis ... hepatitis - Cardiac ... #Differential #Diagnosis ... #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... culture • Serum-ascites-albumin-gradient ... g/dL, consider cardiac ... #Diagnosis #Management ... #Summary #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... INR, bilirubin, albumin ... Post-Hepatic: • Cardiac ... #causes #hepatology
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
- Differential Diagnosis ... aHUS, mechanical cardiac ... valve, vasculitis, malignant ... #Algorithm #workup ... #hematology #testing
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Differential Diagnosis ... of pregnancy, Cardiac ... - gallstone or malignancy ... #cholangitis #diagnosis ... #workup #hepatology