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

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Diagnosis #Management ... Summary #Hepatology #SAAG
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
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... diagnoses, & design a management ... pleural #synovial #ascites ... thoracentesis #paracentesis
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
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... 2000 Mg Sodium Fluid ... In A Pinch - Paracentesis ... @ebtapper #Ascites ... #Management #cirrhosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... fluid in blood ... fluid opsonins ... fluid protein: ... SBP #diagnosis #management