78 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
(SBP) on Abdominal ... with fever/abd ... #SBP #Abdominal ... #ultrasound #Gas ... Pneumoperitoneum #Complex #Ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Acute fatty liver ... Mediterranean fever ... #differential #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Complications • Ascites ... Spontaneous Bacterial Peritonitis ... SBP) #ESLD #Liver ... management #summary #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... Clinical • Fever ... • Chills • Abdominal ... Spontaneous #Bacterial #Peritonitis ... SBP #Diagnosis #Hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... 5% Tuberculous peritonitis ... Chylous <1% #Ascites ... Differential #Diagnosis #hepatology
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 ... #Complex #POCUS ... #clinical #ultrasound
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... cirrhosis + TB, peritonitis ... auscultatory percussion, abdominal ... culture/ADA (TB peritonitis ... Differential #Diagnosis #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
8g per liter of ascites ... Spontaneous Bacteria Peritonitis ... Management #Cirrhosis #treatment ... #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial Peritonitis ... and Management Ascites ... protein (< 1.5g/L) ascites ... dysfunction or liver ... Diagnosis #Management #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