Serum Ascites Albumin Gradient (SAAG) | Peritoneal Effusion | Lab 🧪

Serum Ascites Albumin Gradient (SAAG) | Peritoneal Effusion…Cirrhoisis, Tuberculosis, Liver failure, Labs! Edema Fluid: Transudate vs Exudate!
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[@MedicosisPerfectionalis]

🧪Acid-Base Course: www.medicosisperfectionalis.com/products/p/acid-base-disturbances-course/

[@unniroshan]

Hi medicosis perfectionalis, i have a doubt Why is ascitic protein >2.5 in post-hepatic portal hypertension (budd-chiari, CHF) even though it's a transudate ? If water flows out into peritoneum, shouldn't "ascitic protein" get diluted and become low ?

[@lm4661]

lymphoma & TB military will have SAAG = 0.8 (A) Budd Chiari, Cirrhosis w/ increased hydrostatic pressure, & CHF all will have the SAAG of 1.3 (B)

[@deepankarthick380]

1,2-a 3,4,5-b

[@majdmuhannad7254]

what makes you a great teacher is that you explain concepts from the very basic things until you make difficult concepts very clear and easily understandable! Thank you, Medicosis!

[@MedicosisPerfectionalis]

My pleasure 😇 I appreciate you!

[@jcleach2764]

This concept always boggled my mind until you put it into terms of exudate and transudate. Not sure why I was overcomplicating it! Thank you!!!

[@MedicosisPerfectionalis]

Glad it was helpful :)

[@Joeythegoats]

Same hahaha was struggling for 1 hr

[@mahinnsaadi926]

Oh my God, I can't thank you enough for this! Your video really helped clear my concept about SAAG, I was going mad otherwise!❤️ As always, your videos are great 👍🏼

[@MedicosisPerfectionalis]

Thank you 😊

[@iqratahir6221]

i wanna meet this dude and personally thank him for mAKING MEDICINE SO EASY FOR ME WHY DID I JUST DISCOVER HIM NOW WHEN IM ENDING MY MED SCHOOL

[@hassanmohamedomar7959]

patient 1 and 2 have exudate=0.8 patient 3,4,5 have transudate=1.3 thats my understanding medicosis 🙏

[@mehrrizvi2625]

Just in time, great as always. Thank you for all your hard work. Stay blessed!

[@MedicosisPerfectionalis]

Thank you 🙏

[@ProfRoofs]

16:41 A A B B B Great video! Thanks!

[@Ruba-wqx]

You have no idea how much you theses videos are helping me Please continue to upload more videos I will always support you ❤ YOU ARE ICONIC ✨

[@MedicosisPerfectionalis]

Thank you so much, Ruba! You're the best!

[@jordangolding9840]

Hi! This video may be two years old, but it is incredible and so helpful. Thank you so much for breaking it down into simple physiology then building up to the concept at hand. The conceptual relationship to Light's criteria was especially helpful. I was also dying of laughter throughout. Hahaha Thank you so much for putting in the effort to make this content. Huge fan and happy new subscriber!

[@MedicosisPerfectionalis]

Thank you so much!

[@014gulafshaansari2]

Mind blown!! Amazing lecture. this channel never lets down

[@mamtagarg635]

Did anyone notice that sarcasm "get that puppy" to send investigation!! U r Effortlessly great in both content ND execution 🎉

[@MedicosisPerfectionalis]

Thank you 😊

[@arlenebradford5331]

Thank you for breaking this down to make difficult topics easier to understand.

[@MedicosisPerfectionalis]

My pleasure 😇

[@fuadfayyah1387]

I laughed as hell when u said : hey medicosis, the patient has an saag of negative two .. I'll kick your gluteus maximus 😂😂

[@MedicosisPerfectionalis]

Facts 😂😂

[@kenyahotnews2000]

Me too😂😂

[@Jojin_badass]

ㅋㅋㅋㅋㅋㅋㅋㅋ me too

[@souravthakur1164]

You are just aweosme sir...thanks a ton...this SAAG was making me go bonkers!

[@MedicosisPerfectionalis]

Thank you ☺️

[@abhijitaniyan7775]

Oh my god, this is next level teaching 😂😂😂🙏🏽🙏🏽🙌🏽

[@MedicosisPerfectionalis]

Thank you!

[@raheelmd]

Lots of love from India. Great video. I always believe in understanding the fundamentals, which sadly most medical students overlook.

[@MedicosisPerfectionalis]

Thank you so much 😊 for watching!

[@Dr_Abinash_Panda]

Far better than our professor

[@MedicosisPerfectionalis]

Thank you 🙏

[@payalnayak2176]

Finally understood this concept. You are god sent. Thank you so much.

[@MedicosisPerfectionalis]

Thank you 🙏

[@noormhamad1515]

احسنت على هذا الشرح الرائع. فعلا جعلت الطب سهلاً. لم اجد كلمة تصف مدى روعتك

[@MedicosisPerfectionalis]

Thank you 😊

[@meetharia661]

The best best video on saag , now I understand clearly , thank you so much

[@MedicosisPerfectionalis]

Glad it was helpful!

[@MM1997.]

Wow 🤯 Dude explains shit like no body Thank you 🙏,May God bless you

[@MedicosisPerfectionalis]

Thank you, Muhammad!

[@02adityasharma8]

♥️great great concepts... just wow...your every video helped me alot...a big thanks from India🇮🇳

[@MedicosisPerfectionalis]

Thank you 🙏

[@dhruvaraj564]

THAT WAS COOL!.. 😍 So simplified❤ THANK YOU!

[@brunhildandifor7754]

Lymphoma : SAAG of 0.8 (exudate) Military TB: SAAG of 0.8 (exudate) Budd-Chiari syndrome: SAAG of 1.3 (transudate) Cirrhosis: SAAG of 1.3 (transudate) CHF: SAAG of 1.3 (transudate)

[@sallyal-smiri932]

OMG, you're a perfect teacher !

[@MedicosisPerfectionalis]

Thank you 😊

[@arham3825]

Helped Alot! I was up all night thinking why nephrotic pleural effusion is T and SAAG is E . Clarified now

[@argumentumadbaculum]

Great teaching ,as always.

[@MedicosisPerfectionalis]

Thank you 🙏

[@argumentumadbaculum]

So in cirrhosis + Spontaneous bact peritonitis SAAG will be low, is that right?

[@SomaDas-pb3dz]

Thanks a lot.. I just love your teaching style🤩

[@MedicosisPerfectionalis]

I appreciate you!

[@mariamaboutouk8849]

THANK YOU medicosis ! best of the best

[@MedicosisPerfectionalis]

I appreciate you!

[@MultiCantaloupe]

This is bloody amazing, thank you!

[@MedicosisPerfectionalis]

My pleasure 😇

[@thecharming473]

The bestttttttttttttttttt explanation 👌 👌Thank you ☺️🙌

[@MedicosisPerfectionalis]

You're very welcome!

[@kholofeloledwaba5197]

Thank you soooooo much. This video is comprehensive!

[@MedicosisPerfectionalis]

My pleasure 😇

[@mahabubzakaria1359]

Keep up the good work sir ✍️

[@MedicosisPerfectionalis]

Thank you 😊

[@aimanzeb7947]

perfect explanation ❤️

[@MedicosisPerfectionalis]

Thank you 😊

[@mariocesarbenitez5552]

Thanks so much from Colombia

[@MedicosisPerfectionalis]

Thank you 🙏

[@Nebatnani-dh3ku]

Nice one

[@Fatemareza-mi3fu]

Wow. Just loved the video. MashaAllah.

[@MedicosisPerfectionalis]

Thank you 😊

[@سهيالفرجابي]

Its a tough topic but u made it lovely.. Thank u so much medicosis

[@mta5277]

thanks for the explanation

[@MedicosisPerfectionalis]

You're welcome!

[@ingostubbe2695]

Medicosis you are amazing….

[@MedicosisPerfectionalis]

Thank you so much 😊

[@samiabdul6329]

Wow you're a legend

[@MedicosisPerfectionalis]

Thank you so much!

[@samiabdul6329]

@@MedicosisPerfectionalis can you please make a video on chronic portal hypertension and basics of esophageal varices

[@roberttravis5122]

Thank you for explaining a very difficult analyst of SAAG

[@MedicosisPerfectionalis]

Thank you 🙏

[@zahraagad179]

you are so GREAT 😭❤️❤️❤️

[@MedicosisPerfectionalis]

Thank you 😊

[@sbsb6688]

excellent explanation!! thank you sir

[@MedicosisPerfectionalis]

You are welcome!

[@dharamendrapatowary7448]

Great teaching

[@MedicosisPerfectionalis]

I appreciate you!

[@leahjacob7407]

This is amazing!! thank you so much!

[@MedicosisPerfectionalis]

My pleasure 😇

[@dilshaniwarthana9479]

A great explanation.. Thank you so much ❤️

[@hassanmohamedomar7959]

good explanations thnks for you understanding medicosis perfectionalis❤️🙏

[@MedicosisPerfectionalis]

I am honored!

[@raghadtv]

Thank you so much ❤ such a life saver

[@hammerradiology1470]

Nice explanation as always. I didn't get the pathophysiology in the beginning either 🙂🤷‍♀️

[@zeetaj61]

great great video sir appreciate ur funny comments😅

[@MedicosisPerfectionalis]

My pleasure!

[@zamzamosman4241]

LEGENDARY!

[@soundousyoub7540]

Patient 1 and 2 ➡️exudate (saag=0.8). Patient 3, 4 and 5 ➡️transudate(saag=1.3)

[@karjin5774]

Heyyy. Can you do podcast on Spotify with medical content? Like The curbsiders internal medicine podcast? It could be great

[@MedicosisPerfectionalis]

I will give it a thought!

[@fatmatobbakh4936]

YASS PLS

[@mustafamukaram7412]

Thank you nice explanation

[@MedicosisPerfectionalis]

My pleasure 😇

[@raminbarzani8977]

Well explained!

[@MedicosisPerfectionalis]

Thank you 🙏

[@lovehealthgratitude]

😂🤣 Made me laugh out loud, almost right off the bat, re: "What about in the red blood cell?" 😂🤣 Subscribing. Awesome job.

[@MedicosisPerfectionalis]

Thank you 😊

[@modyonir2806]

Thank you Very much ♥

[@MedicosisPerfectionalis]

My pleasure 😇

[@MDPowerhouse]

Really great explanation!

[@MedicosisPerfectionalis]

Thank you 🙏

[@ragapragnya20]

U r amazing ❤

[@MedicosisPerfectionalis]

Thank you so much!

[@acorfamily]

Love it Medicosis!!!!

[@MedicosisPerfectionalis]

Thank you 🙏

[@luanaserra5908]

Love it!!! Thank Youuu ♥♥♥♥♥♥

[@MedicosisPerfectionalis]

My pleasure 😇

[@jawidahmadgailani8624]

Great video❤

[@MedicosisPerfectionalis]

Thank you!!

[@sahanikoralage5000]

So the verdict in Nephrotic is that it’s a transudate but with a low SAAG?

[@jackiereynolds2888]

What is a 'Shunt' and how and why is it used ?

[@MedicosisPerfectionalis]

It depends on the type of shunt (bypass).

[@jackiereynolds2888]

@@MedicosisPerfectionalis I heard reference to it as it passed in impatient conversation. I was very much hoping that 'it' was a 'solution' to a condition of acities, - one which demands attention now, - almost every-other day. It's my wife, and I grow more worried and anxious with each passing day. Question: would a 'shunt' at least help with this ever- growing accumulation of fluid in her abdomen ? Her appearance is becoming LITERALLY very frightening

[@leticiabrc]

thank you so much!!!

[@MedicosisPerfectionalis]

You're welcome!

[@hajir.h.30]

I don’t understand one think why nephrotic syndrome is exudate ? I read it in Davidson 22th edition that nephrotic syndrome is transudate ascites while in 23rd edition Of the same book that NS is exudate?

[@anisahmohamed978]

bcs of losig the protein (albumin) in the urine so its exudate

[@mortadaahmed6203]

You are an angel

[@MedicosisPerfectionalis]

Thank you 😊

[@Nebatnani-dh3ku]

The 1st 2 are choice = a and the rest choice = b, sir

[@anesh7824]

Thanks, legend

[@fayrouz6666]

it such amazing!!

[@MedicosisPerfectionalis]

Thank you!

[@Manokhan7619]

How to do such editing 🤔 please make a video on it 🙏

[@zainahziyad2036]

Thank u ❤❤❤❤🎉

[@MedicosisPerfectionalis]

You're welcome 😊

[@ctesiphon93]

THANK YOU!

[@toufytaylorsversion8700]

Well-explained .. thank you

[@MedicosisPerfectionalis]

My pleasure 😇

[@mirunapirvanus1741]

I.a,II.a,III.b,IV.b,V.b good job!👍

[@ojll99]

Thank u ❤

[@cannedhusky]

omg it finally makes sense

[@MedicosisPerfectionalis]

Awesome 👏

[@ahmadibashir2985]

Dear doctor, how we can stop ascites,after tips procedure and replacing a stine in the liver? We did the tips procedure and our patien still has ascites. Doctors tell us, it is due to lack of albumin. Will she be OK?

[@kidst556]

Thank you very much.

[@MedicosisPerfectionalis]

My pleasure 😇

[@adenhassen9119]

plz will do make video on stroke

[@mj5843]

Patient 1- exudate Patient 2- exudate Patient 3- transudate Patient 4- transudate Patient 5- transudate

[@方紹祺]

Hi! I got a quesiton here. Why is that decreasing oncotic pressure (probably transudate) belongs to the category of SAAG

[@stephanieokaka2442]

Well, I believe if I was following right, its because the decreased oncotic pressure (like in nephrotic syndrome) has to do with loss of proteins from the plasma and so the serum albumin on its own is already low, in a nutshell you are trying to measure what's not even there 🤷🏾‍♀.

[@bmouchid5285]

can i have the notes in this video pls

[@zainabxaaji2895]

Patient 1 and 2 exdute 0.3 Patient 3 4 5 transdute 0. 8

[@Sahad_MH]

🔥🔥🔥

[@MedicosisPerfectionalis]

🙏

[@HuongNguyen-ou5pg]

i wanna ask you, in nephrotic albumin is low like cirrhosis but why saag in nephrotic is low?

[@aasthaborse2887]

thanks 💯

[@MedicosisPerfectionalis]

My pleasure 😇

[@complex5813]

Why does oncotic pressure decreases in hypoprotinemia?? Somebody pls explain

[@MedicosisPerfectionalis]

Because the oncotic pressure is caused mainly by the albumin protein (because albumin is the most abundant plasma protein, and osmosis is a colligative property that depends on the number of particles).

[@amelmhmd9946]

Thank you sir

[@MedicosisPerfectionalis]

My pleasure 😇

[@manar6501]

you are the beeeeessstttttt !!!!!!

[@naveedrezaaghamohammadi4996]

what about ascites total protein? why budd chiary is in high total protein ascites?

[@maramibrahim6827]

What if i have a SAAG of 0.8 which favours exudate or transudate of a low oncotic pressure orgin but the fluid albumin /serum albumin is 0.75 which suggests an exudate what is the discriminant indicator in this case

[@av8480]

Can human albumin 20% medicine treat, liver Cirrohis permanently and make patient normal

[@simransharma8858]

Lymphoma exudate Military TB exu BC Syn transudate Cirrhosis transudate ChF transudate

[@chukwuebukaobinwa6500]

So nephrotic syndrome will cause low saag but its a transudative process?

[@MehediHasan-ng4sq]

I have the same ques. Can anyone explain?

[@DOCB-op1qc]

i love this guy. all the good medical lecturers have indians, that i cant understand.