ABDOMINAL DISTENTION: Ascites

ABDOMINAL DISTENTION: AscitesBowel DilatationAscitesOther CausesAbdominal DistentionHigh Albumin Gradient (SAAG)* >11 g/L serum-fluid albumin Low Albumin Gradient (SAAG)* 250/cc) Clinical pearl: "rule of 97": SAAG 97% accurate. If high SAAG, 97% of time it is cirrhosis/portal hypertension. If low SAAG, 97% time carcinomatosis (and cytology 97% sensitive) *Serum Ascites Albumin Gradient (SAAG) = [Serum albumin] - [Peritoneal fluid albumin]