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diagnosis clinical management differential hepatology ultrasound pocus pharmacology sites pathophysiology abdominal algorithm table causes nephrology cirrhosis action comparison gastroenterology paracentesis
Intraductal Papillary Mucinous Neoplasms (IPMN) of the Pancreas - Classification A) BD-IPMN (Branch Duct) - Cystic dilatation
Mucinous Neoplasms (IPMN ... Classification A) BD-IPMN ... Diffuse main duct IPMNs ... ) Segmental MD IPMN ... duct D) Mixed IPMN
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... culture • Check ascites ... WBC and PMN • ... SAAG and check ascites ... MatthewHoMD #Ascites
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
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
(high SAAG) + ascites ... w/ PMN > 250 ... Runyon's Criteria: Ascitic ... #differential #ascites
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
%) • Correct PMN ... by inoculating ascitic ... Culture-negative neutrocytic ascites ... Diuretics ↑ ascitic ... mortality • Ascitic
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
and Management Ascites ... PMN > 250/mm3 ... response - ↓ PMN ... protein (< 1.5g/L) ascites
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... for exudative ascites ... patients with ascites ... #exudative #ascites
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... source • SBP: PMN ... count (WBC x PMN ... consider cardiac ascites ... : Large, tense ascites
Cystic Pancreatic Masses - Differential Diagnosis - Serous Cystadenoma - Solid and Papillary Epithelial Noplasm - Side Branch IPMN -
- Side Branch IPMN ... Cytsadenocarcinoma - Main Duct IPMN
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... of patients w/ ascites ... detect > 1 litre of ascites ... Failure Labs + Ascitic ... Uncomplicated ascites
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