17 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 ... • Calculate SAAG ... #Differential #Diagnosis
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
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... with (ie Portal Hypertension ... Matherly @liverprof #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 ... suggests portal hypertensive ... #Diagnosis #Management
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Peritoneum Portal hypertension ... (SAAG > 1.1 g/dL ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... #Causes #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential Diagnosis ... ) estimated by gradient ... of portal HTN: ascites ... (SAAG>I.I), esophageal
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential Diagnosis ... Algorithm Portal ... #Differential #Diagnosis ... #Algorithm #Hepatology
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