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clinical pocus ultrasound abdominal diagnosis bacterial complex differential hepatology management peritonitis bubbles cholecystitis chronic distended gallbladder gangrenous gas gastroenterology guided
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
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... (SAAG): > 1.1 g ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial
Bacterial Peritonitis (SBP ... with fever/abd pain ... SBP. ... Diverticular abscess ... Pneumoperitoneum #Complex #Ascites
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 Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... fever, abdominal pain ... Diuretics ↑ ascitic ... mortality • Ascitic
Paracentesis on POCUS Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... to r/o SBP in pt ... with abd pain & ... fever; r/o SBP ... #POCUS #Ascites
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 Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
presents with abd pain ... diagnostic and tx paracentesis ... On cipro for sbp ... #POCUS #SBP #clinical ... ultrasound #abdominal #abscess
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 Pelvic Intraabdominal Abscess on POCUS Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Intraabdominal Abscess ... POCUS Fever, low BP ... with lower abd pain ... Pelvis sag of RUSH ... on the pelvis sag
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 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
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain ... Ill-appearing, low BP ... gallbladder on sag ... surrounded by ascites ... distended: 20 cm sag
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