85 results
Paracentesis: Anatomic Landmarks

#Managment #Paracentesis #Anatomic #Landmarks
Paracentesis: Anatomic ... Landmarks #Managment ... #Paracentesis # ... Anatomic #Landmarks
Ascites Drain Placement - Paracentesis Landmarks

by Naomi Robson @robson_visuals, Dr. Keith Siau @drkeithsiau, Dr. Steven Bollipo
Drain Placement - Paracentesis ... Landmarks by Naomi ... Drain #Placement #Paracentesis ... #Landmarks #management
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... culture-positive SBP ... PMNs Timing of paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Guidelines as SBP ... weeks gestation, SBP ... weeks gestation: SBP ... 4 hrs apart or SBP ... obstetrics #cardiology #differential
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... : cell count + differential ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... • Perform paracentesis ... MatthewHoMD #Ascites #Differential
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
etiology, narrow the differential ... thoracentesis #paracentesis
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... SHOCK • MAP <65, SBP ... <90, drop in SBP ... Classification #Differential