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bacterial hepatology spontaneous causes treatment acidosis algorithm arteritis ascites bowel classification criticalcare elevation gastroenterology gca giantcell intestinal lactate lactic obstruction
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
Spontaneous Bacterial Peritonitis ... • Chills • Abdominal ... pain Diagnosis ... stain/culture Management ... #SBP #Diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial Peritonitis ... (SBP) - Diagnosis ... , cefotaxime) SBP ... prophylaxis - Best ... #SBP #Diagnosis
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
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Causes of Intestinal Obstruction - Differential Diagnosis Lesions Extrinsic to the Intestinal Wall: • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Diagnosis Lesions ... Hernia: External abdominal ... abscess, "Starch" peritonitis ... #Diagnosis #SBO
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
and Management ... : cell count + differential ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
or sed rate): Value ... very remarkable w/differential ... GCA, but normal values ... the “Chewing gum test ... #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... to bolus these values ... / hypoxemia -> focus ... tests before beginning ... - Bacterial peritonitis
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