13 results
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
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
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... albumin in the fluid ... #Ascites #Fluid ... Serum #Albumin #Gradient
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
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... Setting up for paracentesis ... #Ascites #SBP # ... POCUS #clinical
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... of hyperechoic fluid ... PittIMPOCUS #Complex ... #Ascites #POCUS
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... fluid in blood ... fluid opsonins ... fluoroquinolone to complete ... fluid protein:
Ultrasound Guided Paracentesis

When there's less room between peritoneal wall and bowel, and you really need to
Ultrasound Guided Paracentesis ... really need to get fluid ... @SAlerhand #paracentesis ... #POCUS #clinical ... Ultrasound #guided #ascites
Complex Ascites on POCUS

- Dr. Michael I. Prats @PratsEM

Large amount of free fluid seen in the
Complex Ascites ... on POCUS - Dr. ... amount of free fluid ... #Complex #Ascites ... #POCUS #clinical
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... distinguishing fluid ... echos within the fluid ... #Perforation #POCUS