13 results
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
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 ... 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 POCUS ... ) secondary to SBP ... Labeled Schematic ... clinical #ultrasound #SBP
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Spontaneous Bacterial Peritonitis ... (SBP) #ESLD ... Complications #diagnosis #management ... #summary #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... • Chills • Abdominal ... stain/culture Management ... Spontaneous #Bacterial #Peritonitis ... #SBP #Diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial Peritonitis ... (SBP) - Diagnosis ... Ascites PMN > 250 ... , cefotaxime) SBP ... #SBP #Diagnosis
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
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... Summary Paracentesis ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Obstruction • Ascites ... Distension #Bloating #Management ... Algorithm #Treatment #gastroenterology
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Hernia: External abdominal ... Inflammatory: Intra-abdominal ... abscess, "Starch" peritonitis ... Differential #Diagnosis #SBO ... bowel #Causes #gastroenterology