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clinical ultrasound sbp abscess ascites diagnosis abdominal acidosis bacterial bleeding calling causes classification color consultation differential doppler elevation equipment gallbladder
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... different) PMHx: - Focus ... on prior Liver/ ... surgeries, TIPS, paracentesis ... US - Prior liver
Liver Abscess on POCUS Ultrasound Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... This #POCUS has ... a complex cystic ... eabramsMD #Clinical #POCUS
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 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 #POCUS
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 Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... diagnostic and tx paracentesis ... pocket for dx + tx paracentesis ... PittIMPOCUS #Complex
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 Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis ... fluoroquinolone to complete ... dL and advanced liver
Paracentesis Supplies Checklist • Sterile gloves • cap • face shield • chlorhex • sterile towels
Paracentesis Supplies ... Checklist • Sterile ... dosed 6-8g per liter ... removed if >5L #Paracentesis ... #Supplies #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... / hypoxemia -> focus ... the patient’s complete ... mellitus/DKA - Liver
Liver laceration and pneumoperitoneum on POCUS BAT s/p MVC-unrestrained driver. RUQ pain. Good quality FAST exam windows
Liver laceration ... pneumoperitoneum on POCUS ... detailed view (sag ... Liver laceration ... pneumoperitoneum #POCUS
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 Gallbladder Sludge Hepatization on POCUS Right subcostal view. Can you see the GB here?
Hepatization on POCUS ... There is almost complete ... to the adjacent liver ... #Hepatization #POCUS
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 Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
thoracentesis, paracentesis ... node biopsy) • Complex ... e.g. pancreas, liver
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