This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Nutrition, Subject name: Medicine
[{'content': 'In which of the following condition serum ascites-to-albumin gradient is > 1.1 \nSelect and explain. \nA. Nephrotic syndrome, B. Pancreatitis, C. Peritoneal carcinomatosis, D. Budd chiari syndrome', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The development of the serum ascites-to-albumin gradient (SAAG) has replaced the description of exudative or transudative fluid. When the gradient between the serum albumin level and the ascitic fluid albumin level is >1.1 g/dL, the cause of the ascites is most likely due to poal hypeension; this is usually in the setting of cirrhosis. When the gradient is <1.1 g/dL, infectious or malignant causes of ascites should be consideredIn Budd Chiari syndrome SAAG is >1.1 i.e poal hypeensionReference: Harrison&;s Principles of Internal medicine; 19th edition; Chapter 35; Cirrhosis and its complications', 'role': 'assistant'}]