12 results
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
Algorithm for the ... Diagnosis #Management #EM ... FebrileSeizure #Fever ... #Workup #Simple ... #Complex
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... Algorithm • ... Perform paracentesis ... Differential #Diagnosis #Algorithm
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... Pneumoperitoneum #Complex ... #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... weeks ago, no fevers ... PittIMPOCUS #Complex ... ultrasound #abdominal #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... if other signs (fever ... Diuretics ↑ ascitic ... fluoroquinolone to complete
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Restriction - Never ... Work-horse Diuretic ... In A Pinch - Paracentesis ... @ebtapper #Ascites
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Assess volume status ... - burns - fevers ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Evaluation and Management of Pediatric Fever #Diagnosis #Management #EM #Peds #Fever #Workup #Evaluation #Discharge #Admission #Algorithm
Management of Pediatric Fever ... Diagnosis #Management #EM ... #Peds #Fever #Workup ... Discharge #Admission #Algorithm
Spinal Epidural Abscess - Classic triad (back pain + fever + neuro deficits) found in only
Spinal Epidural Abscess ... triad (back pain + fever ... 13% #Diagnosis #EM ... NSG #Epidural #Abscess ... #Algorithm #ALiEM
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... AECOPD) Obtain workup ... SARS-CoV-2 (or complete ... diagnosed COPD Assess ... #COPD #AECOPD #Algorithm