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ascites diagnosis hepatology differential gradient algorithm acutephasereactants analysis fluid gastroenterology interpretation laboratory liver management pathophysiology peritoneal peritonitis secondary spontaneous summary
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table - Serum ... Ascites Albumin ... Gradient (SAAG) ... Diagnosis #Table #Serum ... #Albumin #Gradient
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... - Serum to Ascites ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Ascites #Fluid #Serum
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
according to the serum ... ascites albumin ... gradient (SAAG) ... SAAG ≥ 1.1: ... #ascites #albumin
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... cephalosporin + albumin ... 50, LDH ULN for serum
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Diagnosis High albumin ... ischemia/infarction #SAAG ... #Serum #Ascites
Acute-phase Reactants Synthesized in the Liver Positive acute-phase reactants (concentrations increase with acute inflammation) - Immune-related
Haptoglobin - Serum ... amyloid A (SAA) ... Transthyretin (TBPA) - Albumin
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