17 results
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
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... Gradient (SAAG) ... SAAG ≥ 1.1: ... #Table #Serum #Albumin ... #Gradient #SAAG
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Gradient Ascites ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... #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 ... Ascites #Diagnosis #Management ... Summary #Hepatology #SAAG
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... • Large volume paracentesis ... terlipressin #Albumin ... #Indications #Management
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Diagnosis High albumin ... gradient (>1.1 ... ischemia/infarction #SAAG
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Prevention of Post-Paracentesis ... #Paracentesis # ... management #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... SBP #diagnosis #management
Paracentesis Checklist
Also Consider:
- albumin (large volume)
- facemask
- Luer Lock stopper tip for syringe

#Management #Paracentesis #Preprocedure #Materials
Paracentesis Checklist ... Also Consider: - albumin ... for syringe #Management ... #Paracentesis #