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diagnosis ascites hepatology differential treatment albumin hyperkalemia arthrocentesis crrt csf fluidanalysis gastroenterology hepatic high hydrothorax hypothermia interpretation lumbarpuncture lysis managment
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... #Ascites #Fluid ... #Serum #Albumin ... #Differential #Analysis
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
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 ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Ascites #Diagnosis #Management ... Summary #Hepatology #SAAG
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... Criteria: Ascitic fluid ... 50, LDH ULN for serum ... Peritoneal Dialysis
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Syndrome - Workup and Management ... Initial workup: BMP, Serum ... Clinical TLS: • IV fluids ... every 4-6 hrs • Dialysis ... Syndrome #diagnosis #management
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... binder • Consider Dialysis ... Serum potassium ... #algorithm #treatment
Hepatic Hydrothorax • Presents as right sided in 85% of cases • Fluid studies:
/serum total protein ... /serum LDH ratio ... < 0.6 - Serum-to-pleural ... fluid albumin gradient ... may develop • Management
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... Resonium • Consider Dialysis ... Glucose - Monitor serum ... #Hyperkalemia #management ... #algorithm #treatment
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