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Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Serum Ascites Albumin ... • Portal vein thrombosis ... • Nephrotic syndrome ... #Table #Serum #Albumin ... Gradient #SAAG #hepatology
Algorithm for workup of thrombocytopenia based on observation of the peripheral blood film. 
TTP/HUS indicates thrombotic
Algorithm for workup ... /HUS indicates thrombotic ... hemolytic uremic syndrome ... thrombocytopenia, Hematology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
- Hepatic vein thrombosis ... (Budd-Chiari syndrome ... - Portal vein thrombosis ... cirrhosis - Nephrotic syndrome ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
and hepatorenal syndrome ... INR, bilirubin, albumin ... • Budd Chiari syndrome ... • Portal vein thrombosis ... Diagnosis #causes #hepatology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
split products, albumin ... products with: - Albumin ... necrosis) - Thrombosis ... (Thrombotic vasculopathy ... Antiphospholipid syndrome
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
expensive Serum albumin ... nutrition and hepatic albumin ... Assess for thrombotic ... glomerular #testing #workup ... nephrotic #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
expensive 2) Serum albumin ... nutrition and hepatic albumin ... Assess for thrombotic ... glomerular #disease #workup ... initial #testing #nephrology
Antiphospholipid Syndrome (APLS) Testing - Hypercoagulable Workup Algorithm
INDICATIONS FOR TESTING:
 • Vascular thrombosis
Antiphospholipid Syndrome ... Hypercoagulable Workup ... TESTING: • Vascular thrombosis ... or small-vessel thrombosis ... Hypercoagulable #Workup
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Total Protein - Albumin ... > 4) Work-up ... concentration minus albumin ... changes (POEMS syndrome ... gastric tumors • Hematology