High vs Low SAAG

Question 1

What does a high SAAG indicate?

Answer 1

Portal HTN

Question 2

Liver causes of high SAAG

Answer 2

Cirrhosis/Alcoholic Liver Disease
Acute Liver Failure
Liver mets

Question 3

Cardiac Causes of high SAAG

Answer 3

RHF

Constrictive Pericarditis

Question 4

Other causes

Answer 4

Budd-Chiari
Portal vein Thrombosis
Veno-occlusive disease
Myxoedema

Question 5

Causes of Low SAAG

Answer 5

Hypoalbumin

• Nephrotic
• Malnuitrition
• Peritoneal Carcinoma
• TB Peritonitis
• Pancreatitis
• Bowel Obstruction
• Biliary Ascites
• Post op lymph leak
• Serositis in Connective disorders

Question 6

Ascited Mx

Answer 6

• Restrict Dietary sodium
• Fluid restriction if sodium <125
• Spironolactone
• Large colume paracentesis with albumin cover
• Prophylactic Ciprofloxacin to prevent SBP