19 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex #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 ... ) secondary to SBP ... POCUS #clinical #ultrasound ... #SBP
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Complications • Ascites ... Bacterial Peritonitis (SBP ... ) #ESLD #Liver ... management #summary #hepatology
Antibiotic Therapy for Spontaneous Bacterial Peritonitis  (SBP)

- Standard therapy 
- Uncomplicated SBp• 
- Nosocomial SBP
Peritonitis (SBP ... Uncomplicated SBp ... hypersensitivity - Advanced liver ... Antibiotic #Regimen #Pharmacology ... #Hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Clinical • Fever ... • Chills • Abdominal ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... and Management Ascites ... protein (< 1.5g/L) ascites ... dysfunction or liver ... Diagnosis #Management #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... if other signs (fever ... , abdominal pain ... Diuretics ↑ ascitic ... dL and advanced liver
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
hypertensive source • SBP ... ULN • Protein: level ... suggests higher SBP ... w/ ↓ BP) - Dr ... Management #Summary #Hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... a gallstone on Abdominal ... Ultrasound - POCUS ... #Cirrhosis #Liver ... #Ultrasound #POCUS