225 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
Metabolism of Albumin and Causes of Hypoalbuminemia 

#Albumin #Hypoalbuminemia #Metabolism #Causes #pathophysiology
Metabolism of Albumin ... and Causes of Hypoalbuminemia ... #Albumin #Hypoalbuminemia ... #Metabolism #Causes
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Differential Diagnosis Table ... Serum Ascites Albumin ... Differential #Diagnosis #Table ... #Serum #Albumin
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Absent Serum albumin ... Red blood cell casts ... Present Serum albumin ... Nephritic #Comparison #Table
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... differential, albumin ... Serum-ascites-albumin-gradient ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Day 3 repeat paracentesis
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... serumascitesalbumingradient #paracentesis
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Administer albumin ... Prevention of Post-Paracentesis ... #Paracentesis #
IV Fluids - Comparison Table
Fluid - pH - Osm - Na - Cl - Other
 •
Fluids - Comparison Table ... • Colloids: 5% albumin ... , 25% albumin ... IVF #Comparison #Table