262 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Perform paracentesis ... protein • Fluid albumin ... and serum albumin
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Large volume paracentesis ... terlipressin #Albumin
Metabolism of Albumin and Causes of Hypoalbuminemia 

#Albumin #Hypoalbuminemia #Metabolism #Causes #pathophysiology
Metabolism of Albumin ... and Causes of Hypoalbuminemia ... #Albumin #Hypoalbuminemia ... #Metabolism #Causes
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... differential, albumin ... Serum-ascites-albumin-gradient ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... Day 3 repeat paracentesis
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... serumascitesalbumingradient #paracentesis
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
Albumin Supplementation ... in Large-volume Paracentesis ... Administer albumin ... Prevention of Post-Paracentesis ... #Paracentesis #
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Absent Serum albumin ... Red blood cell casts ... Present Serum albumin
Hypoalbuminemia and hypophosphatemia can mask an anion gap (particularly, low albumin states usually underestimate the anion
particularly, low albumin ... Multiply the albumin ... every g/dL the albumin ... Differential #Curbsiders #Causes
Paracentesis Checklist
Also Consider:
- albumin (large volume)
- facemask
- Luer Lock stopper tip for syringe

#Management #Paracentesis #Preprocedure #Materials
Paracentesis Checklist ... Also Consider: - albumin ... #Management #Paracentesis