7 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
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
     •
Causes of Pleural ... Differential Diagnosis Algorithm ... LDH > 2/3 Serum ... Differential #Diagnosis #Algorithm ... #Causes #Pulmonary
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
sided in 85% of cases ... /serum total protein ... /serum LDH ratio ... < 0.6 - Serum-to-pleural ... fluid albumin gradient
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Cause - Decreased ... gastrointestinal osmotic gradient ... and fluid secretion ... Differential #Diagnosis #Algorithm