28 results
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Cirrhosis and Ascites ... Ascites Workup ... Algorithm Ascites ... Bacterial Peritonitis (SBP ... diagnosis #management #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bloating - Treatment Algorithm ... Bowel Overgrowth (SIBO ... Obstruction • Ascites ... #Treatment #gastroenterology
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... Robert Jones @RJonesSonoEM ... #Abdominal #POCUS ... Pneumoperitoneum #Complex #Ascites
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... very subtle intra-ascitic ... ) secondary to SBP ... clinical #ultrasound #SBP
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... SAAG and check ascites ... Differential #Diagnosis #Algorithm ... #gastroenterology
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
IBS) Treatment Algorithm ... laxatives • Abdominal ... sequestrant • Abdominal ... Treatment #Management #Algorithm ... #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Culture-negative neutrocytic ascites ... signs (fever, abdominal ... Diuretics ↑ ascitic ... mortality • Ascitic
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Hernia: External abdominal ... Inflammatory: Intra-abdominal ... Differential #Diagnosis #SBO ... bowel #Causes #gastroenterology
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management Algorithm ... associated with abdominal ... Constipation #Management #Algorithm ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Differential Diagnosis Algorithm ... Ischemic colitis, IBO ... Differential #Diagnosis #Algorithm ... gastrointestinal #gastroenterology