13 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
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 ... Algorithm Ascites Management ... Spontaneous Bacterial Peritonitis ... (SBP) Hepatic ... #gastroenterology
 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
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
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
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 ... Setup - Ultrasound
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