23 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 and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
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 - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... conjunction with the clinical ... pleural #synovial #ascites ... thoracentesis #paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... at least 2): 1) Clinical ... #differential #ascites
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... What abnormal fluid ... Answer: Ascites, ... Easiest fluid collection ... #clinical #ultrasound
Ultrasound Guided Paracentesis

When there's less room between peritoneal wall and bowel, and you really need to
Ultrasound Guided Paracentesis ... really need to get fluid ... @SAlerhand #paracentesis ... #POCUS #clinical ... Ultrasound #guided #ascites
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... >10 mmHg - clinically ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... diagnostic and tx paracentesis ... pocket for dx + tx paracentesis ... of hyperechoic fluid ... #POCUS #SBP #clinical