14 results
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 ... POCUS #clinical
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... Serum-ascites-albumin-gradient (SAAG ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... ) on Abdominal POCUS ... SBP. ... POCUS for win. ... Pneumoperitoneum #Complex
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... PMNs Timing of paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis ... fluoroquinolone to complete
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... POCUS Paracentesis ... to r/o SBP in pt ... pain & fever; r/o SBP ... #POCUS #Ascites
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... ascites on Abdominal POCUS ... ) secondary to SBP ... #POCUS #clinical ... #ultrasound #SBP
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... On cipro for sbp ... PittIMPOCUS #Complex ... #SBP #clinical
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites in SBP ... on POCUS RUQ FF ... who underwent paracentesis ... 72% sensitive; #POCUS ... #POCUS #abdominal
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Cirrhosis Management Checklist ... spironolactone (2:5 ratio), paracentesis ... I - Infection (SBP ... VIBES #Cirrhosis #Checklist
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Physical exam (complete ... contrast (most sn/sp ... workup #diagnosis #checklist