11 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... albumin and serum ... • Calculate SAAG
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... ascites albumin gradient ... (SAAG) SAAG ≥ ... ascites #albumin #gradient ... differential #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table - Serum ... Ascites Albumin Gradient ... (SAAG) SAAG ... Diagnosis #Table #Serum ... #Albumin #Gradient
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... albumin in the fluid ... #Ascites #Fluid ... #Serum #Albumin
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Exudative Effusion:
 - Pulmonary
     •
Differential Diagnosis Algorithm ... 0.5 - Pleural Fluid ... 0.6 - Pleural Fluid ... LDH > 2/3 Serum ... Differential #Diagnosis #Algorithm
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... ischemia/infarction #SAAG ... #Serum #Ascites ... #Albumin #Gradient
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... Criteria: Ascitic fluid ... 50, LDH ULN for serum
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
85% of cases • Fluid ... /serum total protein ... /serum LDH ratio ... < 0.6 - Serum-to-pleural ... fluid albumin gradient
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
the same tests (serum ... regarding their fluid ... #Hyponatremia #Algorithm