11 results
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 POCUS ... ) secondary to SBP ... Labeled Schematic ... 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 ... Bacterial Peritonitis (SBP ... Complications #diagnosis #management ... #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Gastric Outlet Obstruction ... • Ascites • ... Algorithm #Treatment #gastroenterology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Bacterial Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... the ED), c/w an SBO ... Labeled Schematic ... 999003416323084289 #SBO ... #Abdominal #clinical
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 ... #Summary #Hepatology
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
of Intestinal Obstruction ... Hernia: External abdominal ... Inflammatory: Intra-abdominal ... Differential #Diagnosis #SBO ... bowel #Causes #gastroenterology
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Arrhythmia • Obstructive ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Summary • Hypotension ... : SBP<90, SBP drop ... Mental Status (SBP ... and Reverse • Obstructive