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diagnosis ascites hepatology bacterial differential gastroenterology hyponatremia peritonitis prophylaxis sbp sodium spontaneous summary
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
• Perform paracentesis ... Total protein • Fluid ... albumin and serum ... albumin • Aerobic ... • Calculate SAAG
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Ascites #Diagnosis #Management ... Summary #Hepatology #SAAG
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
inoculating ascitic fluid ... as 10 days 2) Albumin ... : lg/kg of 25% albumin ... SBP #diagnosis #management ... #prophylaxis #treatment
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... volume • Offer Fluid ... - Correct K & Albumin ... Volume • Consider Fluid ... #algorithm #treatment
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