17 results
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... hypertensive source • SBP ... suggests higher SBP ... Summary #Hepatology #SAAG
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... obstruction syndrome SAAG ... Tuberculosis #SAAG ... #gradient #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... Albumin Gradient ... (SAAG) SAAG ... Serum #Albumin #Gradient
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites ... Diagnosis #Management #SAAG ... #Evaluation #SBP
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Serum #Albumin #Gradient
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... culture • Check ascites ... • Calculate SAAG ... and check ascites
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Day 3 repeat paracentesis ... Diuretics ↑ ascitic ... mortality • Ascitic
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... Diagnosis High albumin gradient ... Low albumin gradient ... ischemia/infarction #SAAG ... #Albumin #Gradient