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hepatology diagnosis ascites differential serum algorithm treatment analysis bacterial causes checklist cirrhosis fluid gastroenterology hepatic hydrothorax hypertension indications interpretation materials
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Ascites #Diagnosis #Management ... Summary #Hepatology #SAAG
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
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... SAAG ≥ 1.1: ... #ascites #albumin ... #gradient #hepatology
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
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... • Large volume paracentesis ... terlipressin #Albumin ... #Indications #Management
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Diagnosis High albumin ... gradient (>1.1 ... ischemia/infarction #SAAG
Albumin Supplementation in Large-volume Paracentesis Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Prevention of Post-Paracentesis ... #Paracentesis # ... management #hepatology
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... SBP #diagnosis #management
Paracentesis Checklist Also Consider: - albumin (large volume) - facemask - Luer Lock stopper tip for syringe #Management #Paracentesis #Preprocedure #Materials
Paracentesis Checklist ... Also Consider: - albumin ... for syringe #Management ... #Paracentesis #
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