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diagnosis differential hepatology nephrology ascites albumin management syndrome alkaline alp analysis cardiology chloride digoxin fluid gastroenterology hematology hepatorenal hrs hyophosphatasia
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
according to the serum ... ascites albumin gradient ... (SAAG) SAAG ≥ ... ascites #albumin #gradient ... differential #diagnosis #algorithm
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Fluid albumin and serum ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
- Serum to Ascites ... Albumin Gradient ... and fibrosis) High ... Ascites #Fluid #Serum ... #Albumin #Gradient
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Differential Diagnosis Algorithm ... releasing K+ into serum ... TTKG should be high ... #causes #potassium ... #high #pathophysiology
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... protein, culture • 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
Serum Ascites Albumin ... Gradient (SAAG) ... Differential Diagnosis High ... ischemia/infarction #SAAG ... #Serum #Ascites
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Differential Diagnosis Algorithm ... free water loss, Serum ... Sodium >145 mmol/L High ... #Causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Cause - Decreased ... gastrointestinal osmotic gradient ... Differential #Diagnosis #Algorithm ... #Pathophysiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... immature blasts and high ... WBC count cause ... contents into serum ... Spontaneous if high
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... Pathophysiology: ... Criteria): • ↑ Serum ... Exclude other AKI causes ... Prognosis: • High
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