9 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
Secondary Bacterial ... Peritonitis (SBP ... SBP. ... 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 ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... DIAGNOSTICS Paracentesis ... RBCs) • Obtain bacterial ... by inoculating ascitic ... -40% will have bacterial
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Cirrhosis and Ascites ... Ascites Workup ... Algorithm Ascites ... Hyponatremia Spontaneous Bacterial ... Peritonitis (SBP
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
diagnostic and tx paracentesis ... On cipro for sbp ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical ... ultrasound #abdominal #abscess
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... w/ spontaneous bacterial ... who underwent paracentesis ... #Echogenic #Ascites
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
RISK FACTORS • Sites ... Gram-positive/-negative bacteria ... qSOFA or SOFA to assess ... - Hypotension SBP ... source (e.g., abscess
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Differential Diagnosis Algorithm ... • Encapsulated Bacteria ... Infection • Abscess ... • Neisseria spp ... Differential #Diagnosis #Algorithm