8 results
“Step by Step” – the new kid on the block – aims to risk stratify this
bacterial infections (SBI ... components of the algorithm ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... Infant #StepByStep #Algorithm
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , abdominal pain ... , mortality in SBP ... #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... #criticalcare #algorithm ... #treatment #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... hypertensive source • SBP ... ULN • Protein: level ... suggests higher SBP
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... increase the risk ... of abdominal compartment ... Pancreatitis #Checklist #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... undergoing AAA or upper abdominal ... medical and surgical management ... stratification #diagnosis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... On cipro for sbp ... #SBP #clinical ... #ultrasound #abdominal
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
elevates the stress level ... diabetic as you risk ... appropriate to do so ... #diagnosis #differential ... #algorithm #management