36 results
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
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
(high SAAG) + ascites ... • Secondary to perforation ... fluid protein > ... Peritoneal #diagnosis #differential ... #ascites
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... on POCUS Hemodynamically ... distinguishing fluid ... echos within the fluid ... #POCUS #clinical
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Total protein • Fluid ... culture • Check ascites ... SAAG and check ascites ... #Differential #
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, 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
Pneumoperitoneum on POCUS

Elderly M with hypotension, abdominal pain and respiratory distress! Let's scan the abdomen first!!!
Pneumoperitoneum on POCUS ... setting of trauma, perforation ... and free fluid. ... Ultrasound #FreeFluid #Perforation ... #POCUS #Clinical
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
Suprapatellar synovial fluid collection on POCUS
Physical exam is nice, adding POCUS dynamic visualization is better.

Dr. Stephen
Suprapatellar synovial ... fluid collection ... on POCUS Physical ... @SAlerhand #Suprapatellar ... #synovial #fluid
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