Is ascitic fluid high in protein?
Total protein: In the past, ascitic fluid has been classified as an exudate if the protein level is greater than or equal to 2.5 g/dL. However, the accuracy is only approximately 56% for detecting exudative causes. The total protein level may provide additional clues when used with the SAAG.
What is ascitic fluid albumin normal range?
The accuracy of the albumin assay at low albumin concentrations (e.g., less than 1 g/dL [10 g/L]) should be confirmed because many patients with ascites have a serum albumin concentration in the range of 2.0 g/dL (20 g/L) and an ascitic fluid albumin concentration in the range of 0 to 1.0 g/dL (0 to 10 g/L).
What is normal ascitic fluid?
Under normal conditions, peritoneal fluid is clear to pale yellow. Bloody ascites is a characteristic of benign or malignant tumors, hemorrhagic pancreatitis, or perforated ulcer,23 whereas clear or straw colored ascites is often associated with cirrhosis.
How do you interpret ascitic fluid?
A high SAAG (>1.1g/dL) suggests the ascitic fluid is a transudate. A low SAAG (<1.1g/dL) suggests the ascitic fluid is an exudate.
What color is ascites fluid?
Ascitic fluid is typically translucent and yellow. Fluid of other colour or consistency may reflect specific underlying disease processes (see table). Several millileters of ascitic fluid are sufficient to obtain a differential cell count.
What is SAAG in ascitic fluid?
Defines presence of portal hypertension in patients with ascites. Pearls/Pitfalls. Why Use. Patients with known liver disease and ascites in whom portal hypertension status is unknown.
What is normal total protein level in blood test?
6.0 to 8.3 grams per deciliter
Normal Results The normal range is 6.0 to 8.3 grams per deciliter (g/dL) or 60 to 83 g/L. Normal value ranges may vary slightly among different laboratories. Talk to your provider about the meaning of your specific test results.
What does a high SAAG mean?
A high gradient (SAAG >1.1 g/dL) indicates portal hypertension and suggests a nonperitoneal cause of ascites. Such conditions may include the following: Cirrhosis. Fulminant hepatic failure.
What labs indicate ascites?
Initial laboratory investigation of ascites includes cell count and differential, total protein, and serum and peritoneal fluid albumin. In a patient with an elevated SAAG (≥1.1 g/dL), a fluid total protein of 2.5 g/dL or greater suggests ascites is due to heart failure.
What is the best medicine for ascites?
Ascites Treatments The doctor may prescribe “water pills,” also called diuretics, to help flush the extra fluid from your body. Two of the most common diuretics are: Furosemide (Lasix) Spironolactone (Aldactone)