18 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient ... #gradient #hepatology ... #differential #diagnosis ... #algorithm
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... Algorithm • ... Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Albumin Gradient ... albumin in the fluid ... Matherly @liverprof #Diagnosis ... #Ascites #Fluid ... Serum #Albumin #Gradient
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... Albumin Gradient ... (SAAG) SAAG ... #Differential #Diagnosis ... Serum #Albumin #Gradient
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Diagnosis #Management ... Summary #Hepatology #SAAG
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... the differential diagnoses ... pleural #synovial #ascites ... thoracentesis #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... Secondary #Peritoneal #diagnosis ... #differential #ascites
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... fluid in blood ... fluid opsonins ... fluid protein: ... Peritonitis #SBP #diagnosis
Commonly Used Clinical Grading Systems
 • Edema Grading Scale
 • Hepatic Encephalopathy Grading (West Haven Criteria)
Used Clinical Grading ... Encephalopathy Grading ... • Ascites Grading ... #Systems #classification ... #diagnosis
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... - Differential Diagnosis ... High albumin gradient ... ischemia/infarction #SAAG ... #Differential #Diagnosis