6 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... Total protein • Fluid ... albumin and serum ... • Calculate SAAG ... gastroenterology #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... #ascites #albumin ... #gradient #hepatology ... differential #diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Gradient Ascites ... in the fluid • ... liverprof #Diagnosis #Hepatology ... #Fluid #Serum #Albumin ... #Gradient #Interpretation
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Summary #Hepatology ... #SAAG #paracentesis
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
in Large-volume Paracentesis ... Prevention of Post-Paracentesis ... Circulatory Dysfunction ... #Paracentesis # ... management #hepatology
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 #hepatology