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diagnosis hepatology differential albumin peritonitis spontaneous treatment arthrocentesis bacterial cirrhosis csf fluidanalysis gastroenterology hypothermia instructions interpretation lumbarpuncture peritoneal pleural procedure
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 ... of the fluid in ... diagnoses, & design a management ... pleural #synovial #ascites ... thoracentesis #paracentesis
Paracentesis - Procedure 1) Marking Epigastric Vessels 2) Finding A Fluid Pocket Nick Mark MD @nickmmark #Paracentesis #Procedure #instructions #management
Paracentesis - Procedure ... 2) Finding A Fluid ... @nickmmark #Paracentesis ... #instructions #management ... #ascites
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
and Management ... culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Diagnosis #Management ... Summary #Hepatology #SAAG
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
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Ascites Management ... 2000 Mg Sodium Fluid ... In A Pinch - Paracentesis ... @ebtapper #Ascites ... #Management #cirrhosis
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... fluid in blood ... fluid opsonins ... fluid protein: ... SBP #diagnosis #management
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Rapid - Level 1 fluid ... Slow - Hot Line fluid ... epinephrine • Consider paralysis ... Hypothermia #Protocol #management ... #treatment #algorithm
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