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Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Ascites Workup ... Spontaneous Bacterial Peritonitis ... (SBP) Hepatic ... Complications #diagnosis ... #hepatology
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... #Ascites #Workup ... #Diagnosis #Management ... SAAG #Evaluation #SBP ... #Hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
• Chills • Abdominal ... pain Diagnosis ... stain/culture Management ... #SBP #Diagnosis ... #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
(SBP) - Diagnosis ... Ascites PMN > 250 ... , cefotaxime) SBP ... #SBP #Diagnosis ... #Management #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Spontaneous Bacterial Peritonitis ... (SBP) #ESLD ... Complications #diagnosis ... #management #summary
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... cirrhosis + TB, peritonitis ... auscultatory percussion, abdominal ... #workup #Differential ... #Diagnosis #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #SBP #diagnosis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP ... #Diagnosis #Management
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
(at injection sites ... approach for post-test ... : Confirmatory test ... ↑Se/Sp but very ... #Hematology #HemeOnc