13 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Check ascites WBC ... • Calculate SAAG ... gastroenterology #hepatology
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
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Ascites Albumin Gradient ... liverprof #Diagnosis #Hepatology ... Serum #Albumin #Gradient ... #Differential #Analysis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... PMN > 250 • Treatment ... > 100 WBC, >50% ... Positive Culture • Treatment
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... SBP: PMN count (WBC ... Management #Summary #Hepatology ... #SAAG #paracentesis
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Differential Diagnosis Algorithm ... Artifact (redo CBC ... effect following treatment ... Differential #Diagnosis #Algorithm ... #Causes #Hematology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Arterial blood gas (ABC ... ) analysis - Quantifies ... 80mmHg or A-a gradient ... ) on room air Treatment ... #hepatology
Polycythemia Vera (PV) - Diagnosis and Management Summary
Diagnostic Criteria:
 • Elevated hemoglobin and/or hematocrit AND
 •
incidentally via CBC ... Splenomegaly Treatment ... • Treatment is ... • Treatment algorithms ... #hematology
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Biliary Cholangitis (PBC ... Extracorporeal albumin dialysis ... #Cholangitis #PBC ... #Management #Hepatology ... #Algorithm
Chronic Hepatitis B - Diagnosis and Management Algorithm

• Who to treat: Essentially treat the pts with
and Management Algorithm ... • Monitor: CBC ... HepatitisB #HBV #Algorithm ... Diagnosis #Management #Treatment ... #Hepatology