40 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... Total protein • Fluid ... SAAG and check ascites ... #Differential #
Paracentesis - Procedure
1) Marking Epigastric Vessels
2) Finding A Fluid Pocket

Nick Mark MD @nickmmark

#Paracentesis #Procedure #instructions #management
Paracentesis - Procedure ... 2) Finding A Fluid ... @nickmmark #Paracentesis ... instructions #management #ascites
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... etiology, narrow the differential ... pleural #synovial #ascites ... thoracentesis #paracentesis
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Approach and Differential ... relevant findings: Fluid ... Fluid Analysis: ... Cell count and differential ... #workup #Differential
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... subcostal 4-chamber POCUS ... What abnormal fluid ... Answer: Ascites, ... Easiest fluid collection
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... , the differential ... This differential ... workup #algorithm #differential
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... 2000 Mg Sodium Fluid ... In A Pinch - Paracentesis ... @ebtapper #Ascites
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... fluid in blood ... fluid opsonins ... fluid protein:
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... Management Summary Paracentesis ... : cell count + differential ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
SAAG - Serum to Ascites ... Albumin Gradient Ascites ... albumin in the fluid ... #Fluid #Serum # ... Interpretation #Differential