9 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... • Spontaneous Bacterial ... Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
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 ... gastroenterology #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial ... • Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP ... Ascites PMN > ... , cefotaxime) SBP ... #Peritonitis #SBP ... #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 ... : cell count + differential ... hypertensive source • SBP ... suggests higher SBP ... #Summary #Hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... #Diagnosis #criticalcare ... algorithm #treatment #management
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 ... • Should be on differential
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

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