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diagnosis differential causes hepatology ascites management nephrology albumin cardiology chloride obstetrics serum acute alkalosis dyspnea endocrinology gastroenterology gestationalage growthrestriction hepatopulmonary
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
ascites albumin gradient ... (SAAG) SAAG ≥ ... Late Budd-Chiari syndrome ... ascites #albumin #gradient ... differential #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Albumin Gradient ... (SAAG) SAAG ... budd-chiari SAAG ... • Nephrotic syndrome ... Serum #Albumin #Gradient
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Ascites Albumin Gradient ... fibrosis) High SAAG ... with (ie Portal Hypertension ... Serum #Albumin #Gradient
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... • Nephritic syndrome ... Excess: • Conn's syndrome ... Licorice • Liddle's syndrome ... Differential #Diagnosis #Algorithm
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Outpatient Hypertension ... Management Algorithm ... ARB + Diuretic Hypertensive ... Acute Coronary Syndrome ... #Management #Algorithm
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... suggests portal hypertensive ... Summary #Hepatology #SAAG ... #paracentesis
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... ) estimated by gradient ... HTN: ascites (SAAG ... and hepatorenal syndrome ... • Budd Chiari syndrome
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Secondary Causes of Hypertension ... Differential Diagnosis Algorithm ... Hypertensive urgency ... excess (Cushing syndrome ... Differential #Diagnosis #Algorithm
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Peritoneum Portal hypertension ... (SAAG > 1.1 g/dL ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... - Myxedema (SAAG
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