10 results
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
Ascites Albumin Gradient ... albumin in the fluid ... liverprof #Diagnosis #Hepatology ... #Fluid #Serum #Albumin ... #Differential #Analysis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
ascites albumin gradient ... (SAAG) SAAG ≥ ... ascites #albumin #gradient ... #hepatology #differential ... #diagnosis #algorithm
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 ... diagnoses, & design a management ... thoracentesis #paracentesis
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
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
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... blood gas (ABC) analysis ... 80mmHg or A-a gradient ... SpO2 > 88% • Management ... #treatment #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
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... Extracorporeal albumin dialysis ... Cholangitis #PBC #Management ... #Hepatology #Algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Rapid - Level 1 fluid ... Slow - Hot Line fluid ... epinephrine • Consider paralysis ... Hypothermia #Protocol #management ... #treatment #algorithm