8 results
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Summary Paracentesis ... (SAAG): > 1.1 g ... • Secondary Peritonitis ... #Summary #Hepatology ... #SAAG #paracentesis
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
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... stain/culture Management ... cephalosporin • Albumin ... Spontaneous #Bacterial #Peritonitis ... SBP #Diagnosis #Hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Spontaneous Bacterial Peritonitis ... Complications #diagnosis #management ... #summary #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