4 results
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
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis - Spontaneous ... vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... Criteria: Ascitic fluid ... 50, LDH ULN for serum
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
• Presents as right ... /serum total protein ... /serum LDH ratio ... fluid albumin gradient ... - pH > 7.4 • Spontaneous