41 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 ... #Landmarks #management
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 ... #Differential #
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
etiology, narrow the differential ... diagnoses, & design a management ... pleural #synovial #ascites ... thoracentesis #paracentesis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... Summary Paracentesis ... : cell count + differential ... ) Large-volume paracentesis ... #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... SBP #diagnosis #management
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... • Large volume paracentesis ... 8g per liter of ascites ... #Indications #Management
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 #
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... In A Pinch - Paracentesis ... @ebtapper #Ascites ... #Management #cirrhosis
PEA - Assessment and Management - Narrow vs Wide Complex QRS - Credit: SMACCBYTE 1st Place
Assessment and Management ... Narrow vs Wide Complex ... DrKnpck #Diagnosis #Management ... #WideComplex #Differential