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diagnosis differential hepatology albumin management sbp spontaneous abdominal arthrocentesis bacterial csf echogenic fluidanalysis gastroenterology interpretation lumbarpuncture peritoneal pleural pocus prophylaxis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
vs Peritoneal Dialysis ... Cirrhosis (high SAAG ... ) + ascites w/ PMN ... fluid protein > ... #differential #ascites
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... (SAAG) SAAG ≥ ... Tuberculosis #SAAG ... #gradient #hepatology ... differential #diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
Albumin Gradient ... albumin in the fluid ... #Ascites #Fluid ... Serum #Albumin #Gradient ... #Differential #Analysis
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Total protein • Fluid ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Fluid Analysis A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... systematic approach to analysis ... of the fluid in ... pleural #synovial #ascites ... thoracentesis #paracentesis
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... • Secondary Peritonitis ... Summary #Hepatology #SAAG ... #paracentesis
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
cirrhosis + TB, peritonitis ... relevant findings: Fluid ... Fluid Analysis: ... chylous: milky fluid ... culture/ADA (TB peritonitis
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Spontaneous Bacterial Peritonitis ... fluid in blood ... from secondary peritonitis ... fluid opsonins ... fluid protein:
Echogenic Ascites in SBP on POCUS RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... spontaneous bacterial peritonitis ... The fluid has some ... who underwent paracentesis ... #Echogenic #Ascites
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