7 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... Total protein • Fluid ... albumin and serum ... albumin • Aerobic ... • Calculate SAAG
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... Gradient Ascites ... in the fluid • ... #Ascites #Fluid ... #Gradient #Interpretation
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 - 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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
inoculating ascitic fluid ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... SBP #diagnosis #management
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
85% of cases • Fluid ... - Pleural fluid ... - Pleural fluid ... albumin gradient ... may develop • Management
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... volume • Offer Fluid ... - Correct K & Albumin ... Volume • Consider Fluid ... #algorithm #treatment