11 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... • Calculate SAAG ... #Differential # ... Diagnosis #Algorithm
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Tuberculosis #SAAG ... gradient #hepatology #differential ... #diagnosis #algorithm
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... - Alcoholic hepatitis ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... Causes #diagnosis #differential
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
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Diagnosis Algorithm ... Cholangitis • Abscess ... #Hepatomegaly #Differential ... #Diagnosis #Algorithm
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... Cirrhosis/acute hepatitis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm
Neoplasm:
• NHL
• Hodgkin's lymphoma
• Leukemia
• Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... Non-infectious hepatitis ... Osteomyelitis • Occult abscess ... #Diagnosis #Algorithm
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... - Alcoholic hepatitis ... ischemia/infarction #SAAG ... Albumin #Gradient #Differential
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Abdominal Pain - Differential ... Diagnosis Algorithm ... splenomegaly, abscess ... location/diffuse: • Ascites ... #Diagnosis #Algorithm
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis ... - Management Algorithm ... blood, urine and ascites ... #Alcoholic #Hepatitis ... #Management #Algorithm