55 results
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... - Serum Ascites ... Cirrhosis • Portal ... Differential #Diagnosis #Table
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... and diff • Total ... • Calculate SAAG ... total protein
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Normal Peritoneum ... Portal hypertension ... Portal vein occlusion ... #Causes #diagnosis
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... sinusoid with (ie Portal ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... (SAAG): > 1.1 g ... /dL suggests portal ... Summary #Hepatology #SAAG ... #paracentesis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... hepatorenal syndrome Clues ... HTN: • Ascites ... Post-Hepatic: • Cardiac causes ... Differential #Diagnosis #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites ... Algorithm #Hepatology #causes
Meigs Syndrome - Diagnosis and Management Summary
Triad:
1) Pleural effusion + 
2) Ascites + 
3) Benign Ovarian
effusion + 2) Ascites ... transudative • SAAG ... <0.5 (non-portal