13 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
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
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 #
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... SBP. ... Diverticular abscess ... Pneumoperitoneum #Complex ... #Ascites
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... #prophylaxis #treatment
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
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... standing): - ↓ SBP ... reconciliation, Assess ... Hypotension #Management #Algorithm ... #Treatment
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... se and 94-100% sp ... for CTEPH • Assess ... cteph #management #algorithm ... cardiology #pulmonary #treatment
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 ... #COPD #AECOPD #Algorithm ... #Exacerbation #treatment
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
(at injection sites ... binds heparin-PF4 complex ... Confirmatory test ↑Se/Sp ... Diagnosis #Management #Treatment