12 results
diagnosis ascites differential bacterial sbp spontaneous treatment algorithm artificial cirrhosis gastroenterology hepatic hydrothorax hypertension indications liver portal prophylaxis pulmonary summary
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin ... • Calculate SAAG ... gastroenterology #hepatology
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
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... hypertension (SAAG ... #Ascites #Causes ... #differential #hepatology ... #SAAG
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
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
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
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... INR, bilirubin, albumin ... Post-Hepatic: • Cardiac causes ... Differential #Diagnosis #causes ... #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... cirrhosis + TB, peritonitis ... differential, albumin ... Differential #Diagnosis #hepatology
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