Jas

Amazing, Valerie.

Great job.

I don't know about everyone else, but I'm pretty overwhelmed by this case.

So question for the audience.

So does a low SAG hemorrhagic inflammatory ascites profile fit with the story we were telling up to now?

Or does it force a new framework?

I'll pause for a few seconds.

I would argue that it forces a new framework.

Up to this point, we were asking whether portal hypertension explained the ascites.

A SAG of 0.6 says that it cannot be the main explanation here.

The hemorrhagic and inflammatory profile means we now need to think about peritoneal irritation or invasion, not just pressure-driven fluid accumulation.

With that, I'll turn it over to Mukund for Aliquot number five.

Amazing job.

That was very well done.

And I need to kind of like take a step back, trying to want to highlight for the audience, because I think there's so many things I can highlight.

But I think I'll ask this one question for the audience here.

How do you reconcile mild portal hypertension with an acidic profile that looks very non-portal hypertensive?

I'll pause for a few seconds.

So by concluding, there are probably two processes here.

An HVPG of 7 means portal hypertension is present, but it is likely mild and clinically not that significant.