• from: Evaluation-ascites 󰒖

Ascites fluid total protein (AFTP)

• <2.5 (Pre- & Intrahepatic)
• ≥2.5 (Post-hepatic)

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• useful when SAAG ≥1.1 to →
  • distinguish cirrhosis (AFTP <2.5 g/dL) ← from
    • Ascitic protein <2.5 g/dL
    • Cirrhosis
    • Late Budd-Chiari syndrome
    • Massive liver metastases
  • cardiac ascites (AFTP ≥2.5 g/dL).
• Low AFTP (<1 g/dL) assoc. w/ ↑ risk of SBP (see “Cirrhosis” for guidelines on SBP Ppx based on AFTP).
  • I Heart failure/constrictive pericarditis
  • Early Budd-Chiari syndrome
  • IVC obstruction, SVC syndrome
  • Sinusoidal obstruction syndrome