12 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... Fluid albumin and serum ... • Calculate SAAG ... and check ascites
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... gradient (SAAG) ... SAAG ≥ 1.1: ... obstruction syndrome SAAG ... Tuberculosis #SAAG
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table - Serum ... Ascites Albumin ... Gradient (SAAG) ... Diagnosis #Table #Serum
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
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 ... - Serum to Ascites ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... #Serum #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 ... ) + ascites w/ PMN ... Runyon's Criteria: Ascitic ... 50, LDH ULN for serum ... #differential #ascites
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... hepatitis - Cardiac ascites ... ischemia/infarction #SAAG ... #Serum #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... liver cirrhosis w ascites ... diagnostic and tx paracentesis ... pocket for dx + tx paracentesis ... ultrasound #abdominal #abscess