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

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Albumin Gradient ... • Portal vein thrombosis ... • Nephrotic syndrome ... 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
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
ascites albumin gradient ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... ascites #albumin #gradient ... #hepatology #differential
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Cirrhosis Portal Vein Thrombosis ... Mesenteric Vein Thrombosis ... ) Budd Chiari Syndrome ... Circulation #Disorders #Hepatology
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... Alveolar-arterial oxygen gradient ... Hepatopulmonary #Syndrome ... #HPS #hepatology
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary Syndrome ... the dx is an A-a gradient ... Hepatopulmonary #Syndrome ... Diagnosis #Algorithm #hepatology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
actor for arterial thrombosis ... - No other workup ... Hypercoagulable #Workup ... #hematology #diagnosis ... #algorithm #hematology
2019 EULAR recommendations for thrombosis in (Antiphospholipid Syndrome) APS
Venous Thrombosis - Arterial Thrombosis
INR Target
Duration
Recurrence

Dr. Laurent ARNAUD
Antiphospholipid Syndrome ... - Arterial Thrombosis ... Antiphospholipid #Syndrome ... EULAR2019 #guidelines #rheumatology ... #hematology #treatment
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
hemolysis: • Thrombotic ... hemolytic-uremic syndrome ... - Drug-induced thrombotic ... anemia" • HELLP syndrome ... differential #diagnosis #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