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diagnosis management clinical pocus ultrasound hepatology abdominal abscess bacterial cholecystitis complex differential distended febrile gallbladder gangrenous gastroenterology guided infant lp
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
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... if other signs (fever ... improved outcomes 1) Antibiotics ... Diuretics ↑ ascitic
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 ... with abd pain & fever ... ; r/o SBP much more ... #POCUS #Ascites
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 Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
diagnostic and tx paracentesis ... weeks ago, no fevers ... On cipro for sbp ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical
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 “Step by Step” – the new kid on the block – aims to risk stratify this
bacterial infections (SBI ... components of the algorithm ... an infant with fever ... #LP #Antibiotics ... Stratification #Fever
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
RISK FACTORS • Sites ... • Symptoms: Fever ... - Hypotension SBP ... cultures before antibiotics ... broad-spectrum antibiotics
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Ill-appearing, low BP ... gallbladder on sag ... surrounded by ascites ... distended: 20 cm sag
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