13 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... • Spontaneous Bacterial ... Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Clinical • Fever ... • Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Ascites PMN > ... be considered if ... dysfunction or liver ... #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... other signs (fever ... , abdominal pain ... dL and advanced liver ... #diagnosis #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... hypertensive source • SBP ... ULN • Protein: level ... suggests higher SBP ... #Summary #Hepatology
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... w/ spontaneous bacterial ... always wondered if ... #SBP #POCUS #abdominal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology ... obgyn #diagnosis #management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... On cipro for sbp ... Point of Care Ultrasound ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... ileus), intra-abdominal ... portal #venousgas #ultrasound ... #hepatology #liver ... #pocus #clinical