117 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... WBC and PMN • ... SAAG and check ascites ... Differential #Diagnosis #Algorithm
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 ... differential #diagnosis #algorithm
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
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 ... #exudative #ascites ... diagnosis #workup #algorithm
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Cirrhosis and Ascites ... Ascites Workup ... Algorithm Ascites ... Management Refractory Ascites ... #Cirrhosis #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
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
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites ... Differential #Diagnosis #Algorithm
Possible sites of anorectal (“perianal”) abscesses #Anatomy #PrimaryCare #Colorectal #EM #PerianalAbscess #Locations #BMJ
Possible sites of ... PrimaryCare #Colorectal #EM