14 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial ... Peritonitis (SBP) on Abdominal ... POCUS Cirrhosis ... Peritonitis #SBP #Abdominal ... Pneumoperitoneum #Complex #Ascites
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Variceal Bleeding ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... a gallstone on Abdominal ... Ultrasound - POCUS ... #Liver #Gallbladder ... #Ultrasound #POCUS
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... procoagulopathy or secondary ... to cirrhosis, Abdominal ... 3) Sinusoidal: Cirrhosis ... , Polycystic liver
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... , vomiting, abdominal ... develops (DIC, ascites ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Kidney stones caused ... cirrhosis, and ... Postoperative abdominal ... distention • Abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Distinguish from secondary ... signs (fever, abdominal ... Any etiology (variceal ... dL and advanced liver ... SBP #diagnosis #management
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
Bibasilar Atelectasis secondary ... to massive ascites ... volumes of intra-abdominal ... under-recognized cause ... lung #clinical #pocus
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... Liver enlargement
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... s/p colectomy, liver ... cirrhosis w ascites ... POCUS performed ... #ultrasound #abdominal