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hepatology ascites differential analysis bacterial evaluation gastroenterology hepatic hydrothorax interpretation perioperative peritonitis preop preoperative prophylaxis pulmonary risk sbp serum spontaneous
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
- Differential Diagnosis ... and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... serum ascites albumin ... gradient (SAAG) ... #ascites #albumin ... #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Gradient Ascites ... in the fluid • ... Matherly @liverprof #Diagnosis ... #Ascites #Fluid ... #Gradient #Interpretation
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Hepatology #SAAG
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Bacterial Peritonitis DIAGNOSTICS ... inoculating ascitic fluid ... as 10 days 2) Albumin ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
Hepatic Hydrothorax • Presents as right sided in 85% of cases • Fluid studies:
85% of cases • Fluid ... - Pleural fluid ... albumin gradient ... may develop • Management ... #Hydrothorax #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
any evidence of fluid ... event, follow ACC algorithm ... or LV dysfunction ... medical and surgical management ... stratification #diagnosis
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