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diagnosis management hepatology ascites checklist differential clinical pocus testing anesthesia anesthesiology pulmonary spontaneous treatment ultrasound bacterial cirrhosis criticalcare evaluation gastroenterology
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup ... • Perform paracentesis ... protein • Fluid albumin ... and serum albumin
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Day 3 repeat paracentesis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Ascites - Workup and Management #Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites #Workup ... SAAG #Evaluation #SBP
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
cephalosporin • Albumin ... #Peritonitis #SBP
Albumin Supplementation in Large-volume Paracentesis Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Administer albumin ... Prevention of Post-Paracentesis ... #Paracentesis #
Management and Complications of Cirrhosis and Ascites Ascites Workup Algorithm Ascites Management Refractory Ascites Hyponatremia Spontaneous Bacterial Peritonitis (SBP) Hepatic Hydrothorax AKI in
Ascites Ascites Workup ... Bacterial Peritonitis (SBP
Failure to Thrive - Evaluation Checklist • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
, B12, folate, albumin ... Syphilis • Consults: SLP ... PT, OT, Social work
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