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diagnosis hepatology differential management sbp bacterial clinical peritonitis pocus serumascitesalbumingradient ultrasound albumin alcoholic bubbles chronic gas gastroenterology hepatitis pain pneumoperitoneum
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... Tuberculosis #SAAG ... #gradient #hepatology ... differential #diagnosis #algorithm
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... distention #abdominal ... distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
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
Causes of abdominal distention #abdominal distention #ascites #SAAG #serumascitesalbumingradient #paracentesis
Causes of abdominal ... distention #abdominal ... distention #ascites ... #SAAG #serumascitesalbumingradient ... #paracentesis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial
Peritonitis (SBP) on Abdominal ... Diverticular abscess ... Peritonitis #SBP #Abdominal ... Pneumoperitoneum #Complex ... #Ascites
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 Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... PittIMPOCUS #Complex ... clinical #ultrasound #abdominal ... #abscess
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 Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... signs (fever, abdominal ... Diuretics ↑ ascitic ... fluoroquinolone to complete
Chronic Abdominal Pain - Differential Diagnosis Algorithm Constant / Chronic-Fleeting / Post-Prandial Upper Quadrant: • Peptic ulcer disease
Chronic Abdominal ... Differential Diagnosis Algorithm ... splenomegaly, abscess ... location/diffuse: • Ascites ... Differential #Diagnosis #Algorithm
Alcoholic Hepatitis - Management Algorithm Assess Eligibility for Treatment: - Maddrey Discriminant Function ≥ (or possibly MELD
Hepatitis - Management Algorithm ... Assess Eligibility ... >20) - Obtain abdominal ... blood, urine and ascites ... Hepatitis #Management #Algorithm
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