TY  - CHAP
M1  - Book, Section
TI  - Ascites & Spontaneous Bacterial Peritonitis
A1  - Greenberger, Norton J.
A2  - Greenberger, Norton J.
A2  - Blumberg, Richard S.
A2  - Burakoff, Robert
PY  - 2016
T2  - CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 3e
AB  - ESSENTIALS  OF  DIAGNOSISAll  patients  with  cirrhosis  and  ascites  on  admission  should  undergo  diagnostic  paracentesis.Diagnosis  of  spontaneous  bacterial  peritonitis  (SBP)  is  usually  established  by  an  elevated  ascitic  fluid  polymorphonuclear  leukocyte  (PMN)  count  >250  cells/mL.  Whereas  some  patients  with  ascites  have  peritoneal  fluid  PMN  counts  >250  cells/mL,  all  patients  with  SBP  do.The  most  useful  parameter  for  classifying  ascites  is  the  serum  ascites–albumin  gradient  (SAAG).With  98%  accuracy  a  SAAG  value  >1.1  g/dL  is  consistent  with  ascites  secondary  to  portal  hypertension.SAAG  values  <1.1  g/dL  can  occur  in  ascites  due  to  infection,  inflammation,  or  neoplasm.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1119990779
ER  -