7 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Diverticular abscess ... #Abdominal #POCUS ... 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 (very subtle ... ) secondary to SBP ... #Complex #POCUS
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... #Ascites #POCUS ... #ultrasound #abdominal ... #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... signs (fever, abdominal ... • pay 1: 1.5 g/kg ... • pay 3: lg/kg ... fluoroquinolone to complete
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Obstruction and Ascites ... on POCUS This ... #SmallBowel #Obstruction ... #Ascites #POCUS ... #Abdominal #clinical
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
S.aureus • Strep spp ... from contiguous focus ... Hepatic artery (e.g ... sources within abdominal ... differential #diagnosis #hepatology
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
>20) - Obtain abdominal ... blood, urine and ascites ... cultures Assess ... goal of >21 kcal/kg ... Management #Algorithm #hepatology