67 results
Ascites Drain Placement - Paracentesis Landmarks

by Naomi Robson @robson_visuals, Dr. Keith Siau @drkeithsiau, Dr. Steven Bollipo
Ascites Drain Placement ... - Paracentesis ... Landmarks by Naomi ... stevenbollipo #Ascites ... #Landmarks #management
Paracentesis: Anatomic Landmarks

#Managment #Paracentesis #Anatomic #Landmarks
Paracentesis: Anatomic ... Landmarks #Managment ... #Paracentesis # ... Anatomic #Landmarks
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
Paracentesis Anatomy Landmarks

Don't hit the inferior epigastric artery!!! Go 2cm below the umbilicus in the midline
Paracentesis Anatomy ... Landmarks Don't ... anticoagulants #Paracentesis ... #Landmarks #anatomy
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
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