42 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Perform paracentesis ... Differential #Diagnosis #Algorithm ... gastroenterology #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... SAAG ≥ 1.1: - Ascitic ... metastases - Ascitic ... albumin #gradient #hepatology ... differential #diagnosis #algorithm
Genital Skin Ulcers - Differential Diagnosis Algorithm
Painful:
 • Herpes simplex
 • Haemophilus ducreyi (chancroid)
 • Behcet's
Differential Diagnosis Algorithm ... Painful: • Herpes simplex ... Ulcers #ulcerative #skinrash ... #dermatology #Differential ... #Diagnosis #Algorithm
Skin Ulcers by Etiology - Differential Diagnosis Algorithm
Physical:
 • Trauma
 • Pressure
 • Radiation
Vascular:
 • Arterial
Differential Diagnosis Algorithm ... • Bleomycin Hematologic ... Viral - Herpes simplex ... Ulcers #ulcerative #skinrash ... #Diagnosis #Algorithm
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Cirrhosis and Ascites ... Ascites Workup ... Algorithm Ascites ... #Cirrhosis #Ascites ... gastroenterology #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
• Large volume paracentesis ... 8g per liter of ascites ... Cirrhosis #treatment #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... Management Summary Paracentesis ... ) Large-volume paracentesis ... Management #Summary #Hepatology ... #SAAG #paracentesis
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... Setting up for paracentesis ... ultrasound_vcu #Complex ... #Ascites #SBP #
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality • Ascitic
Vesiculobullous Skin Rash - Differential Diagnosis Algorithm
Vesicles Fragile/EasiIy Ruptured - Intraepidermal blisters, possibly crusts/erosions
 - Inflammatory
Differential Diagnosis Algorithm ... • Herpes simplex ... Vesiculobullous #SkinRash ... #dermatology #Differential ... #Diagnosis #Algorithm