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 ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Establish IV/IO Access ... Setup - Ultrasound ... #Diagnosis #Management ... #criticalcare #treatment
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... On cipro for sbp ... #POCUS #SBP #clinical ... #ultrasound #abdominal ... #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... signs (fever, abdominal ... dL and advanced liver ... #diagnosis #management ... #prophylaxis #treatment
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis - Management ... >20) - Obtain abdominal ... blood, urine and ascites ... Multiorgan failure or shock ... Alcoholic #Hepatitis #Management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Pulmonary 3) Abdominal ... Mississippi and Ohio River ... Sinusitis • Brain abscess ... fever • Septic shock ... Fungal #Diagnosis #Management