9 results
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
• Chills • Abdominal ... cells/mL • Positive ... stain/culture Management ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Antibiotic Therapy for Spontaneous Bacterial Peritonitis  (SBP)

- Standard therapy 
- Uncomplicated SBp• 
- Nosocomial SBP
Peritonitis (SBP ... hypersensitivity - Advanced liver ... renal failure #Management ... Antibiotic #Regimen #Pharmacology ... #Hepatology
Positive FAST exam - Morrison’s Pouch

Ever so often its nice to gaze upon a crisp &
Positive FAST exam ... Morrison’s Pouch Ever ... Hemorrhage #pocus #ultrasound ... #clinical #abdominalus ... #trauma #FAST #
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
bacterial "culture-positive ... same as culture-positive ... bacterascites positive ... , abdominal pain ... #diagnosis #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... #Pregnancy #hepatology ... obgyn #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... - Calcium level ... - Triglyceride level ... balance >3-4 liters positive ... increase the risk of abdominal
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Gastric Rupture on Positive ... fluid in this positive ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Rhabdomyolysis: • Trauma ... Muscle swelling - Fever ... Tachycardia - N/V - Abdominal ... Myoglobinuria: UA positive
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... Pertinent positives ... Vital signs: BP ... consider intra-abdominal ... bleeding often from a liver