18 results
Ascites - Differential Diagnosis and Workup Algorithm

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

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Diverticular abscess ... Note gas bubbles ... clinical #ultrasound #Gas ... Pneumoperitoneum #Complex ... #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... w bright white gas ... PittIMPOCUS #Complex ... #Ascites #POCUS ... ultrasound #abdominal #abscess
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 ... #Ascites #SBP # ... POCUS #clinical
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... (SAAG): > 1.1 g ... more than above as ... Summary #Hepatology #SAAG ... #paracentesis
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... This #POCUS has ... a complex cystic ... #Liver #Abscess
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
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
on POCUS Fever, ... Pelvis sag of RUSH ... Patient has ruptured ... --that is what was ... #POCUS #clinical
Adhesions on abdominal POCUS
U/s can also help detect adhesions-->avoid hitting bowel. A paracentesis was halted on
Adhesions on abdominal POCUS ... A paracentesis was ... patient with massive ascites ... a peri-hepatic paracentesis ... Adhesions #abdominal #POCUS
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... These are gas bubbles ... #Perforation #POCUS ... clinical #ultrasound #complex