11 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... and serum albumin ... • Calculate SAAG ... gastroenterology #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
serum ascites albumin ... gradient (SAAG) ... #ascites #albumin ... #gradient #hepatology ... differential #diagnosis #algorithm
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... • Large volume paracentesis ... Spontaneous Bacteria Peritonitis ... Cirrhosis #treatment #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... (SAAG): > 1.1 g ... • Secondary Peritonitis ... #Summary #Hepatology ... #SAAG #paracentesis
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... stain/culture Management ... cephalosporin • Albumin ... Spontaneous #Bacterial #Peritonitis ... SBP #Diagnosis #Hepatology
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
Spontaneous Bacterial Peritonitis ... This algorithm provides ... diagnosis and management ... #Diagnosis #Management ... #Hepatology #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 ... Prevention of Post-Paracentesis ... #Paracentesis # ... management #hepatology
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Ascites Workup Algorithm ... Ascites Management ... Spontaneous Bacterial Peritonitis ... gastroenterology #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial Peritonitis ... from secondary peritonitis ... as 10 days 2) Albumin ... : lg/kg of 25% albumin ... SBP #diagnosis #management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial Peritonitis ... Diagnosis and Management ... response Give IV albumin ... Spontaneous #Bacterial #Peritonitis ... #hepatology