12 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... #albumin #gradient ... #hepatology #differential
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Hepatopulmonary syndrome ... Portopulmonary hypertension ... Renal: Hepatorenal syndrome ... • Ascites: Spontaneous ... Complications #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Albumin Gradient ... • Nephrotic syndrome ... Serum #Albumin #Gradient ... #SAAG #hepatology
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... - Ascites Formation ... - Hepatorenal Syndrome ... #Cirrhosis #Pathophysiology ... #hepatology #liver
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... amzn.to/2LmUODZ #Ascites ... Diagnosis #Algorithm #Hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Albumin Gradient ... Ascites is either ... with (ie Portal Hypertension ... liverprof #Diagnosis #Hepatology ... Serum #Albumin #Gradient
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... ) estimated by gradient ... of portal HTN: ascites ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... #Albumin #Gradient ... Differential #Diagnosis #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Peritoneum Portal hypertension ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... #differential #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... culture • Serum-ascites-albumin-gradient ... suggests portal hypertensive ... consider cardiac ascites ... Management #Summary #Hepatology