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23
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time
diagnosis
differential
causes
management
criticalcare
hepatology
injury
acute
ascites
classification
aki
cardiology
hypotension
liver
nephrology
overview
pocus
protocol
summary
treatment
albumin gradient (
SAAG
... )
SAAG
≥ 1.1: ... syndrome, IVC
obstruction
... , Sinusoidal
obstruction
... differential #diagnosis #
algorithm
Diagnosis and Workup
Algorithm
... • Perform
paracentesis
... • Calculate
SAAG
... Differential #Diagnosis #
Algorithm
Shock
- Differential ...
SBP
<90, drop in ...
SBP
> 40 - End-organ ... Arrhythmia •
Obstructive
... #criticalcare #
algorithm
Management Summary
Paracentesis
... Serum-ascites-albumin-gradient (
SAAG
... suggests higher
SBP
... Summary #Hepatology #
SAAG
... #
paracentesis
Hypotension /
Shock
... Differential Diagnosis
Algorithm
... ventricular outflow
obstruction
... Dysautonomia
Obstructive
... Differential #Diagnosis #
Algorithm
Shock
- Pathophysiology ... Distributive
Shock
... Hypovolemic
Shock
...
Obstructive
Shock
... differential #diagnosis #
algorithm
Shock
Classification ... Differential Diagnosis
SHOCK
... • MAP <65,
SBP
... <90, drop in
SBP
... Myocarditis, Arrhythmia
Obstructive
Shock
- Diagnosis ... • Hypotension:
SBP
... <90,
SBP
drop >40 ... Mental Status (
SBP
... and Reverse •
Obstructive
Shock
- Differential ... Diagnosis
Algorithm
... - Distributive
Shock
... HOCM) -
Obstructive
... Differential #Diagnosis #
Algorithm
along the peri-
shock
... to full
shock
spectrum ... Evaluation #Protocol #
Algorithm
... #Cardiogenic #
Obstructive
... #
Shock
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