11 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... • Spontaneous Bacterial ... Peritonitis (SBP ... Complications #diagnosis ... #management #summary
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Management Refractory ... Spontaneous Bacterial ... Peritonitis (SBP ... Complications #diagnosis
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial ... • Chills • Abdominal ... pain Diagnosis ... stain/culture Management ... #Peritonitis #SBP
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP ... Management Ascites ... , cefotaxime) SBP ... #Peritonitis #SBP ... #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... #Peritonitis #SBP ... #diagnosis #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... hypertensive source • SBP ... suggests higher SBP ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... #criticalcare # ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... : SBP<90, SBP drop ... Mental Status (SBP ... #Management #Summary ... #criticalcare #
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Aortoenteric Fistula ... Management Summary ... , and palpable abdominal ... Not reliable, so ... #Diagnosis #Management
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... patient’s absolute SBP ... Stroke Volume / Arterial ... Arteriovenous fistula ... Syndrome • Blunt Abdominal