60 results
Ascites Drain Placement - Paracentesis Landmarks

by Naomi Robson @robson_visuals, Dr. Keith Siau @drkeithsiau, Dr. Steven Bollipo
Ascites Drain Placement ... - Paracentesis ... stevenbollipo #Ascites ... Drain #Placement #Paracentesis
Paracentesis - Procedure
1) Marking Epigastric Vessels
2) Finding A Fluid Pocket

Nick Mark MD @nickmmark

#Paracentesis #Procedure #instructions #management
Paracentesis - Procedure ... @nickmmark #Paracentesis ... instructions #management #ascites
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... culture • Check ascites ... SAAG and check ascites ... MatthewHoMD #Ascites
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
abdominal distention #ascites ... serumascitesalbumingradient #paracentesis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... - Serum Ascites ... • Pancreatic ascites ... Differential #Diagnosis #Table
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
pleural #synovial #ascites ... thoracentesis #paracentesis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... Management Summary Paracentesis ... consider cardiac ascites ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Day 3 repeat paracentesis ... Diuretics ↑ ascitic ... mortality • Ascitic
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
• Large volume paracentesis ... 8g per liter of ascites
Vascular Ultrasound Prior To Paracentesis
Although the evidence is conflicting, vascular ultrasound prior to paracentesis may prevent
Ultrasound Prior To Paracentesis ... ultrasound prior to paracentesis ... with large volume ascites ... UAlberta_Sono #paracentesis ... #bloodvessels #color