10 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 ... #gastroenterology
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 ... Evaluation • Spontaneous ... Bacterial Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial ... • Chills • Abdominal ... stain/culture Management ... • Albumin #Spontaneous ... #Peritonitis #SBP
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Peritonitis (SBP ... Ascites PMN > ... , cefotaxime) SBP ... #Peritonitis #SBP
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 ... Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... #Summary #Hepatology
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
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
in SBP on POCUS ... FF in a pt w/ spontaneous ... could predict SBP ... paracentesis, 12% rate of SBP ... #SBP #POCUS #abdominal
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Obstruction and Ascites ... the ED), c/w an SBO ... Labeled Schematic ... 999003416323084289 #SBO ... #POCUS #Abdominal