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diagnosis hepatology ascites differential acutephasereactants analysis causes fluid gastroenterology hepatorenal hrs hyperkalemia interpretation laboratory liver management nephrology peritoneal peritonitis potassium
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
according to the serum ... ascites albumin ... gradient (SAAG) ... #ascites #albumin ... differential #diagnosis #algorithm
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table - Serum ... Ascites Albumin ... Gradient (SAAG) ... Diagnosis #Table #Serum ... #Albumin #Gradient
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
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
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... Differential Diagnosis High ... albumin gradient ... #Albumin #Gradient
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
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
• Cirrhosis (high ... SAAG) + ascites ... cephalosporin + albumin ... 50, LDH ULN for serum
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
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Pathophysiology: ... Criteria): • ↑ Serum ... after 2 days of IV albumin ... - IV albumin ... Prognosis: • High
Acute-phase Reactants Synthesized in the Liver Positive acute-phase reactants (concentrations increase with acute inflammation) - Immune-related
Haptoglobin - Serum ... amyloid A (SAA) ... Transthyretin (TBPA) - Albumin ... Synthesis #Hepatology #pathophysiology
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