Template:Ascites Evaluation: Difference between revisions
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===[[Ascites]] Diagnosis=== | ===[[Ascites]] Diagnosis=== | ||
''The differential diagnosis of ascites is often clarified by the calculation of the serum albumin to ascites gradient (SAAG). | ''The differential diagnosis of ascites is often clarified by the calculation of the serum albumin to ascites gradient (SAAG).^'' | ||
*High SAAG > 1.1 g/dL – Indicative of portal hypertension<ref>Runyon BA. Management of adult patients with ascites due to cirrhosis: update 2012. Amer Assoc Study Liv Dis. 2012; 1-96.</ref> | *High SAAG > 1.1 g/dL – Indicative of portal hypertension<ref>Runyon BA. Management of adult patients with ascites due to cirrhosis: update 2012. Amer Assoc Study Liv Dis. 2012; 1-96.</ref> | ||
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**[[Nephrotic syndrome]] | **[[Nephrotic syndrome]] | ||
**[[Pancreatitis]] | **[[Pancreatitis]] | ||
**Peritoneal tuberculosis | **Peritoneal [[tuberculosis]] | ||
**Serositis | **Serositis | ||
**Bowel infarction | **Bowel infarction | ||
**Chylous | **Chylous | ||
;^SAAG = (serum albumin in g/dL) − (ascitic albumin in g/dL) | |||
Revision as of 19:12, 29 March 2023
Ascites Diagnosis
The differential diagnosis of ascites is often clarified by the calculation of the serum albumin to ascites gradient (SAAG).^
- High SAAG > 1.1 g/dL – Indicative of portal hypertension[1]
- Cirrhosis
- Heart failure
- Ascites total protein > 2.5 g/dL suggests cardiac ascites[2]
- Alcoholic hepatitis
- Budd-Chiari syndrome
- Portal vein thrombosis
- Low SAAG < 1.1 g/dL
- Malignancy / peritoneal carcinomatosis
- Nephrotic syndrome
- Pancreatitis
- Peritoneal tuberculosis
- Serositis
- Bowel infarction
- Chylous
- ^SAAG = (serum albumin in g/dL) − (ascitic albumin in g/dL)