19 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... #gradient #hepatology ... #differential # ... diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... Cirrhosis • Portal ... #Differential # ... Serum #Albumin #Gradient
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... • Calculate SAAG ... #Differential # ... Diagnosis #Algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Albumin Gradient ... sinusoid with (ie Portal ... Serum #Albumin #Gradient ... Interpretation #Differential ... #Analysis
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 ... /dL suggests portal ... Summary #Hepatology #SAAG
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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Normal Peritoneum ... Portal hypertension ... (SAAG > 1.1 g/dL ... Portal vein occlusion ... Causes #diagnosis #differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential ... syndrome) - Portal ... ischemia/infarction #SAAG ... #Differential #
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... Peritoneal #diagnosis #differential ... #ascites
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... ) estimated by gradient ... HTN: ascites (SAAG ... HTN: • Ascites ... #Hypertension #Differential