29 results
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... or TMP-SMX • Active ... mortality • Ascitic
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... Setting up for paracentesis ... ultrasound_vcu #Complex #Ascites ... #SBP #POCUS #clinical
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 ... very subtle intra-ascitic ... ) secondary to SBP ... #Complex #POCUS
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... POCUS Paracentesis ... to r/o SBP in pt ... pain & fever; r/o SBP ... #POCUS #Ascites
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... In A Pinch - Paracentesis ... A Second Line Option ... @ebtapper #Ascites
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... POCUS for win. ... #Abdominal #POCUS ... Pneumoperitoneum #Complex #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... diagnostic and tx paracentesis ... POCUS performed ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... who underwent paracentesis ... #Echogenic #Ascites ... #SBP #POCUS #abdominal
Ultrasound Guided Paracentesis

Paracentesis is being performed under ultrasound guidance. It is important to avoid the inferior
Ultrasound Guided Paracentesis ... Paracentesis ... needle enters ascites ... #Ultrasound #Paracentesis ... #pocus #clinical