9 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... #ascites #albumin ... #gradient #hepatology ... differential #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... Gradient (SAAG) ... SAAG ≥ 1.1: ... #Table #Serum #Albumin ... #Gradient #SAAG
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Gradient Ascites ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... #Gradient #Interpretation
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... gradient (>1.1 ... gradient (<1.1 ... ischemia/infarction #SAAG ... #Gradient #Differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... HTN: ascites (SAAG ... INR, bilirubin, albumin ... Post-Hepatic: • Cardiac causes ... Differential #Diagnosis #causes
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Cause - Decreased ... intoxication Cause ... gastrointestinal osmotic gradient ... Differential #Diagnosis #Algorithm
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
sided in 85% of cases ... Serum-to-pleural fluid albumin ... gradient > 1.1