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diagnosis differential hepatology albumin management abdominal arthrocentesis compartment csf fluidanalysis gastroenterology hypothermia iap instructions interpretation intrabdominal lumbarpuncture measurement peritoneal peritonitis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... Tuberculosis #SAAG ... #gradient #hepatology ... differential #diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Albumin Gradient ... albumin in the fluid ... #Ascites #Fluid ... Serum #Albumin #Gradient ... #Differential #Analysis
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Fluid Analysis A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... systematic approach to analysis ... of the fluid in ... pleural #synovial #ascites ... thoracentesis #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... #differential #ascites
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
retroperitoneal fluid ... sepsis, excessive fluid ... long standing ascites ... syndrome, peritoneal dialysis ... to fill with IV fluid
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Rapid - Level 1 fluid ... Slow - Hot Line fluid ... warmer • Warmed bladder ... epinephrine • Consider paralysis ... management #treatment #algorithm
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