11 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
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 ... at least 2): 1) Clinical ... #differential #ascites
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial Peritonitis ... Diverticular abscess ... Abdominal #POCUS #clinical ... 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 ... fluoroquinolone to complete ... Spontaneous #Bacterial #Peritonitis
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... Setting up for paracentesis ... ultrasound_vcu #Complex ... #Ascites #SBP # ... POCUS #clinical
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 ... #SBP #clinical ... ultrasound #abdominal #abscess
Vascular Ultrasound Prior To Paracentesis
Although the evidence is conflicting, vascular ultrasound prior to paracentesis may prevent
Ultrasound Prior To Paracentesis ... ultrasound prior to paracentesis ... puncture site in a complex ... with large volume ascites ... color #doppler #clinical
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... SARS-CoV-2 (or complete ... diagnosed COPD Assess ... of AECOPD: • Clinical ... #COPD #AECOPD #Algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... a multitude of clinical ... the patient’s complete ... assessment - assess ... - Bacterial peritonitis