9 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP ... SBP. ... #Peritonitis #SBP ... Pneumoperitoneum #Complex ... #Ascites
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... ) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... clinical #ultrasound #SBP
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... • Spontaneous Bacterial ... Peritonitis (SBP ... Complications #diagnosis #management ... #summary #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 ... #Peritonitis #SBP
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... more than above as
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
in SBP on POCUS ... w/ spontaneous bacterial ... could predict SBP ... paracentesis, 12% rate of SBP ... #SBP #POCUS #abdominal
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... w bright white gas ... #SBP #clinical ... #ultrasound #abdominal
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Summary Epidemiology ... triad: Bleeding, abdominal ... , and palpable abdominal ... Not reliable, so ... of AEF: Ectopic gas
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
venous (DVT/PE) or arterial ... (at injection sites ... binds heparin-PF4 complex ... Significant false ⊕’s, so ... Confirmatory test ↑Se/Sp