25 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
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
on Abdominal POCUS ... ) secondary to SBP ... #Complex #POCUS ... #clinical #ultrasound ... #SBP
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... 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
Ascites PMN > ... be considered if ... protein (< 1.5g/L) ascites ... dysfunction or liver ... #hepatology
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
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... Ultrasound - POCUS ... #Cirrhosis #Liver ... #Ultrasound #POCUS ... #Clinical #Abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... other signs (fever ... , abdominal pain ... dL and advanced liver ... #diagnosis #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... Maternal Support - Critical ... #Pregnancy #hepatology
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
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