15 results
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
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Diverticular abscess ... Note gas bubbles ... 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 ... clinical #ultrasound #abdominal ... #abscess
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
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
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Pelvis sag of RUSH ... Patient has ruptured ... appendicitis with intra-abdominal ... --that is what was ... POCUS #clinical #Abdominal
Adhesions on abdominal POCUS
U/s can also help detect adhesions-->avoid hitting bowel. A paracentesis was halted on
Adhesions on abdominal ... A paracentesis was ... patient with massive ascites ... a peri-hepatic paracentesis ... #Adhesions #abdominal
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Patient has history ... These are gas bubbles ... to look for the abdominal ... clinical #ultrasound #complex