73 results
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
causes: cirrhosis, malignancy ... disease: Cirrhosis, Malignancy ... concentration (malignancy ... perforation), LDH (malignancy ... cytology/CEA antigen (malignancy
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... Nephrotic syndrome • Malignancy ... • Pancreatic ascites ... MatthewHoMD #Ascites
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... 80% Underlying malignancy ... Chylous <1% #Ascites
Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's
Malignant Pericardial ... causing Tamponade on POCUS ... Pericardial #Effusion #Malignant ... Echocardiogram #POCUS
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... Non-Nutritional - Malignancy ... hematological Malignancy ... #Pancytopenia #Workup
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient Ascites ... in the fluid • Ascites ... SAAG ≤ 1.1: • Ascites ... Extrahepatic source: Malignancy
Adnexal Masses - Benign vs Malignant Features on Ultrasound and MRI
Benign Features: 
B1- Unilocular 
B2- Presence
Masses - Benign vs Malignant ... color score 1) Malignant ... M2- Presence of ascites ... Ovarian #benign #malignant
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Protein-rich: • Malignancy ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... Non-Nutritional - Malignancy ... hematological Malignancy ... #Pancytopenia #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
trauma, active malignancy ... an established malignancy ... - No other workup ... Hypercoagulable #Workup