13 results
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
or not by the liver ... sinusoid with (ie ... Portal Hypertension ... Infection (TB), Trauma ... liverprof #Diagnosis #Hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... ileus), intra-abdominal ... #venousgas #ultrasound ... #hepatology #liver ... #pocus #clinical
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
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... g/dL suggests portal ... ULN • Protein: level ... #Diagnosis #Management ... #Summary #Hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
absolute PMN count (total ... other signs (fever ... , abdominal pain ... dL and advanced liver ... SBP #diagnosis #management
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... active ROM +/- fever ... osteomyelitis, trauma ... 90% sensitive in pediatrics ... anal Cxs) • *** If
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Recent history of trauma ... DIC • Severe Liver ... dL) - Heparin if ... causes #treatment #management ... #hematology
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) • Use POCUS ... cord injury #Pediatrics ... #Trauma #Primary ... Survey #CABCDE #management
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Diagnosis and Management ... mild (malaise, fever ... , rectum 80%) (abdominal ... q12h)x60 days • Pediatric ... 90-120 days • Pediatric
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
from contiguous focus ... endocarditis) - Portal ... sources within abdominal ... #abscess #pediatrics ... differential #diagnosis #hepatology