7 results
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... Runyon's Criteria: Ascitic ... Features (abd pain ... #differential #ascites
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
Secondary Bacterial Peritonitis ... with fever/abd pain ... Secondary bacterial peritonitis ... Diverticular abscess ... Pneumoperitoneum #Complex #Ascites
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... (SAAG): > 1.1 g ... • Secondary Peritonitis ... Summary #Hepatology #SAAG ... #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial Peritonitis ... DIAGNOSTICS Paracentesis ... from secondary peritonitis ... fever, abdominal pain ... Spontaneous #Bacterial #Peritonitis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... presents with abd pain ... diagnostic and tx paracentesis ... pocket for dx + tx paracentesis ... ultrasound #abdominal #abscess
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal Pain ... Differential Diagnosis Algorithm ... splenomegaly, abscess ... location/diffuse: • Ascites ... Differential #Diagnosis #Algorithm