20 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Perform paracentesis ... and serum albumin ... • Calculate SAAG
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
: cell count + differential ... (SAAG): > 1.1 g ... hypertensive source • SBP ... suggests higher SBP ... Summary #Hepatology #SAAG
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 Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Serum Ascites Albumin ... Gradient (SAAG) ... MatthewHoMD #Ascites #Differential ... #Table #Serum #Albumin
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... fibrosis) High SAAG ... oncotic pressure Low SAAG ... Diagnosis #Hepatology #SAAG ... Interpretation #Differential
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 ... Day 3 repeat paracentesis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... cephalosporin + albumin ... Peritoneal #diagnosis #differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... HTN: ascites (SAAG ... INR, bilirubin, albumin ... #Hypertension #Differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Differential ... ischemia/infarction #SAAG ... #Gradient #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Sophia_Hayes_MD #Shock #Differential ... #criticalcare #algorithm