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diagnosis differential albumin serum management arthrocentesis causes cirrhosis csf fluidanalysis gastroenterology hypertension interpretation lumbarpuncture peritoneal peritonitis pleural portal secondary spontaneous
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 ... gastroenterology #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Albumin Gradient ... albumin in the fluid ... liverprof #Diagnosis #Hepatology ... #SAAG #Ascites ... #Differential #Analysis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Albumin Gradient ... (SAAG) SAAG ... Serum #Albumin #Gradient ... #SAAG #hepatology
Fluid Analysis A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... systematic approach to analysis ... of the fluid in ... pleural #synovial #ascites ... thoracentesis #paracentesis
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 ... Management #Summary #Hepatology ... #SAAG #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... #differential #ascites
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
relevant findings: Fluid ... dullness (LR 2.1) - fluid ... Fluid Analysis: ... chylous: milky fluid ... Differential #Diagnosis #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... Diagnosis High albumin gradient ... ischemia/infarction #SAAG ... #Albumin #Gradient ... Differential #Diagnosis #hepatology
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Ascites Management ... 2000 Mg Sodium Fluid ... In A Pinch - Paracentesis ... @ebtapper #Ascites ... Management #cirrhosis #hepatology
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