11 results
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
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... Setting up for paracentesis ... ultrasound_vcu #Complex ... #Ascites #SBP # ... POCUS #clinical
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 (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... ) secondary to SBP ... #Complex #POCUS ... #clinical #ultrasound ... #SBP
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality • Ascitic
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... SBP. ... Abdominal #POCUS #clinical ... Pneumoperitoneum #Complex ... #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... On cipro for sbp ... PittIMPOCUS #Complex ... #SBP #clinical
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... to r/o SBP in pt ... pain & fever; r/o SBP ... #POCUS #Ascites ... #Clinical #Ultrasound
Vascular Ultrasound Prior To Paracentesis
Although the evidence is conflicting, vascular ultrasound prior to paracentesis may prevent
Ultrasound Prior To Paracentesis ... ultrasound prior to paracentesis ... puncture site in a complex ... with large volume ascites ... color #doppler #clinical
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
(at injection sites ... binds heparin-PF4 complex ... Diagnosis: • Clinical ... Confirmatory test ↑Se/Sp ... non-heparin A/C if clinical