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Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Algorithm • ... Perform paracentesis ... • Calculate SAAG ... Diagnosis #Algorithm
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... gradient #hepatology #differential ... #diagnosis #algorithm
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... : cell count + differential ... (SAAG): > 1.1 g ... hypertensive source • SBP ... suggests higher SBP
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
care center for diagnostic ... and tx paracentesis ... On cipro for sbp ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... POCUS GB done. ... Diagnosis? ... surrounded by ascites ... Diagnosis: Gangrenous