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GastroEnterology

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Question:

How is ascites assessed?

Author: H K



Answer:

Serum Albumin Ascites Gradient (SAAG) It correlates w/portal HTN, accurate indirect index of portal pressure, not diagnostic of cirrhosis but indicates HTN. Classifications are high gradient (>1.1 g/dl, indicates cirrhosis, alcoholic hepatitis, cardiac arrest, mixed ascites, portal vein thrombosis, Budd-Chiari syndrome and veno-occlusive disease) Low gradient (<1.1 g/dl, indicates peritoneal malignancy, TB peritonitis, pancreatic ascites, bowel obstruction, bowel infarction, nephrotic syndrome or serositis)


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H K
H K