103 results
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
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... - Serum Ascites ... • Pancreatic ascites ... Differential #Diagnosis #Table
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
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... very subtle intra-ascitic ... 869585940200796160 #Ascites ... #Complex #POCUS
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
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... subcostal 4-chamber POCUS ... Answer: Ascites, ... effusion #s4c #POCUS ... echocardiogram #POCUS
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
Overview of Pancreatic Cysts
True Epithelial Cyst
Serous Cystadenoma (SCA)
Mucinous Cystic Neoplasm (MCN)
Intraductal Papillary Mucinous Neoplasm (IPMN)
Cystic Neuroendocrine
Mucinous Neoplasm (IPMN ... Cysts #comparison #table
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
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... POCUS for win. ... SBP #Abdominal #POCUS ... Pneumoperitoneum #Complex #Ascites