16 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial ... Cirrhosis with ... POCUS for win. ... Secondary bacterial ... Pneumoperitoneum #Complex #Ascites
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... • Spontaneous Bacterial ... #Cirrhosis #Complications ... #diagnosis #management
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
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... of ascites removed ... • Spontaneous Bacteria ... #Cirrhosis #treatment
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... Infections - Bacterial ... #Causes #diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Ascites PMN > ... Secondary prophylaxis ... dysfunction or liver ... #Spontaneous #Bacterial
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Nail Disorders secondary ... usually painful • Bacterial ... discoloration) • Liver ... cirrhosis • Congestive ... Diagnosis #Algorithm #causes
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... Distinguish from secondary ... Any etiology (variceal ... dL and advanced liver ... SBP #diagnosis #management
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
leakage of RBC's secondary ... Thrombocytopenia: ITP • Secondary ... deficiency • Liver ... meningitidis - Varicella ... gangrenosum • Bacterial
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... by liver insufficiency ... Prevalence: At cirrhosis ... acid by colonic bacteria ... ammonia-producing colonic bacteria