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diagnosis clinical management pocus ultrasound abdominal bacterial hematology hepatology peritonitis abscess cell differential gas gastroenterology hemeonc heparin hit induced oncology
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial
SBP. ... Note gas bubbles ... ultrasound #Gas #Bubbles ... Pneumoperitoneum #Complex ... #Ascites
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 Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Perform paracentesis ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... (SAAG): > 1.1 g ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
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 #
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 Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... bright white gas bubbles ... PittIMPOCUS #Complex ... #SBP #clinical
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 Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... #prophylaxis #treatment
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook Presentation: • Plts ↓50% (nadir
(at injection sites ... binds heparin-PF4 complex ... Confirmatory test ↑Se/Sp ... Diagnosis #Management #Treatment
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
Presentation: • SPB ... creating a “soap bubble ... appearance Favored Sites ... tract, liver SPB ... Bone marrow Treatment
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