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
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Diverticular abscess ... Note gas bubbles ... clinical #ultrasound #Gas ... Pneumoperitoneum #Complex ... #Ascites
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
(SAAG): > 1.1 g ... suggests higher SBP ... more than above as ... Summary #Hepatology #SAAG ... #paracentesis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... PittIMPOCUS #Complex ... #SBP #clinical ... ultrasound #abdominal #abscess
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... Setting up for paracentesis ... ultrasound_vcu #Complex ... #Ascites #SBP #
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality • Ascitic
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... signs defined as ... standing): - ↓ SBP ... reconciliation, Assess ... Hypotension #Management #Algorithm
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... could predict SBP ... who underwent paracentesis ... #Echogenic #Ascites
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
POCUS Fever, low BP ... Pelvis sag of RUSH ... Patient has ruptured ... --that is what was ... on the pelvis sag
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
RISK FACTORS • Sites ... qSOFA or SOFA to assess ... - Hypotension SBP ... Hg - AMS GCS ... source (e.g., abscess