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Ascites Drain Placement - Paracentesis Landmarks by Naomi Robson @robson_visuals, Dr. Keith Siau @drkeithsiau, Dr. Steven Bollipo
Ascites Drain Placement ... - Paracentesis ... stevenbollipo #Ascites ... Drain #Placement #Paracentesis
Paracentesis - Procedure 1) Marking Epigastric Vessels 2) Finding A Fluid Pocket Nick Mark MD @nickmmark #Paracentesis #Procedure #instructions #management
Paracentesis - Procedure ... @nickmmark #Paracentesis ... instructions #management #ascites
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... serumascitesalbumingradient #paracentesis
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... • Perform paracentesis ... culture • Check ascites ... SAAG and check ascites ... MatthewHoMD #Ascites
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... Management Summary Paracentesis ... consider cardiac ascites ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... according to the serum ascites ... SAAG ≥ 1.1: - Ascitic ... metastases - Ascitic ... Tuberculosis #SAAG #ascites
Fluid Analysis A systematic approach to analysis of the fluid in conjunction with the clinical presentation
pleural #synovial #ascites ... thoracentesis #paracentesis
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Day 3 repeat paracentesis ... Diuretics ↑ ascitic ... mortality • Ascitic
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Ascites Management ... In A Pinch - Paracentesis ... @ebtapper #Ascites
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
• Large volume paracentesis ... 8g per liter of ascites
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