11 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
(SBP) on Abdominal ... SBP. ... #SBP #Abdominal ... POCUS #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... 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
on Abdominal POCUS ... ) secondary to SBP ... Labeled Schematic ... POCUS #clinical #ultrasound ... #SBP
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) Hepatic ... gastroenterology #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... • Chills • Abdominal ... stain/culture Management ... #SBP #Diagnosis ... #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
(SBP) - Diagnosis ... Ascites PMN > 250 ... , cefotaxime) SBP ... #SBP #Diagnosis ... #Management #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP ... #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 ... #SBP #diagnosis
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
in SBP on POCUS ... spontaneous bacterial peritonitis ... could predict SBP ... paracentesis, 12% rate of SBP ... #SBP #POCUS #abdominal
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