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diagnosis hepatology albumin causes serum pleural workup arthrocentesis csf effusion exudative fluid fluidanalysis gastroenterology hypertension interpretation lumbarpuncture management peritonitis portal
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... Pancreatitis, Peritoneal ... #gradient #hepatology ... #differential # ... diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Albumin Gradient ... Malignancy • Peritoneal ... #Differential # ... Serum #Albumin #Gradient
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Normal Peritoneum ... disease Diseased Peritoneum ... conditions - Peritoneal ... - Pseudomyxoma peritonei ... Causes #diagnosis #differential
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... • Perform paracentesis ... • Calculate SAAG ... #Differential # ... Diagnosis #Algorithm
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
Dialysis Associated ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... #diagnosis #differential ... #ascites
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... Serum #Albumin #Gradient ... Interpretation #Differential ... #Analysis
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential ... <1.1 g/dl): - Peritoneal ... ischemia/infarction #SAAG ... #Differential #
Fluid Analysis A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... systematic approach to analysis ... etiology, narrow the differential ... pleural #synovial #ascites ... thoracentesis #paracentesis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
: cell count + differential ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
, the differential ... neoplasms of the peritoneum ... This differential ... diagnosis #workup #algorithm ... #differential
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