39 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... : cell count + differential ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Serum Ascites Albumin ... Gradient (SAAG) ... MatthewHoMD #Ascites #Differential ... #Table #Serum #Albumin
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... SAAG ≥ 1.1: ... #ascites #albumin ... gradient #hepatology #differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG ... Interpretation #Differential
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
distention #ascites #SAAG ... serumascitesalbumingradient #paracentesis
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
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
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... cephalosporin + albumin ... Peritoneal #diagnosis #differential
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 #