12 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 ... SBP. ... #SBP #Abdominal ... POCUS #clinical #ultrasound
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... • Chills • Abdominal ... stain/culture Management ... Spontaneous #Bacterial #Peritonitis ... #SBP #Diagnosis
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Spontaneous Bacterial Peritonitis ... (SBP) #ESLD ... Complications #diagnosis #management ... #summary #hepatology
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... POCUS #clinical #ultrasound ... #SBP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... : SBP<90, SBP drop ... Mental Status (SBP ... Setup - Ultrasound ... #Summary #criticalcare
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 ... #SBP #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... Summary Paracentesis ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites in SBP ... spontaneous bacterial peritonitis ... could predict SBP ... Echogenic #Ascites #SBP ... #POCUS #abdominal
Plicae Circulares characteristic of small bowel are most frequent & prominent in JENUNUM on POCUS

What segment
of duodenum Labeled ... PlicaeCirculares #SBO ... #Abdominal #Ultrasound