21 results
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 and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG ... and check ascites
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Albumin Gradient ... albumin in the fluid ... #Ascites #Fluid ... Serum #Albumin #Gradient
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
Paracentesis - Procedure
1) Marking Epigastric Vessels
2) Finding A Fluid Pocket

Nick Mark MD @nickmmark

#Paracentesis #Procedure #instructions #management
Paracentesis - Procedure ... 2) Finding A Fluid ... @nickmmark #Paracentesis ... instructions #management #ascites
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... pleural #synovial #ascites ... thoracentesis #paracentesis
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... Runyon's Criteria: Ascitic ... fluid protein > ... #differential #ascites