1434 results
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
(high SAAG) + ascites ... PMN > 250 • Treatment ... Runyon's Criteria: Ascitic ... Positive Culture • Treatment ... #differential #ascites
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Decompensation • Ascites ... Cirrhosis #diagnosis #treatment
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
and Bloating - Treatment ... Obstruction • Ascites ... Diagnostics and Testing Treatment ... Diagnosis #Algorithm #Treatment
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
8g per liter of ascites ... Management #Cirrhosis #treatment
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... - Ascites that ... : Ascites that recurs ... #Refractory #Ascites ... management #algorithm #treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Culture-negative neutrocytic ascites ... Diuretics ↑ ascitic ... mortality • Ascitic ... #prophylaxis #treatment
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
with existing ascites ... infection Mainstay of treatment ... Diagnosis #Management #treatment
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
non-essential drug/HDS treatments ... disorder (e.g. ascites
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Eligibility for Treatment ... blood, urine and ascites ... Contraindications to Treatment ... shock Eligible for Treatment ... after 7 days of treatment
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