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
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... SBP. ... Diverticular abscess ... Pneumoperitoneum #Complex ... #Ascites
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 #
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... weeks ago, no fevers ... On cipro for sbp ... #SBP #clinical ... ultrasound #abdominal #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... if other signs (fever ... Diuretics ↑ ascitic ... fluoroquinolone to complete
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
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Intraabdominal Abscess ... on POCUS Fever, ... low BP with lower ... Pelvis sag of RUSH ... on the pelvis sag
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Causes of Fever ... Differential Diagnosis Algorithm ... Infection • Abscess ... • Neisseria spp ... Infection #Fever
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
RISK FACTORS • Sites ... • Symptoms: Fever ... qSOFA or SOFA to assess ... - Hypotension SBP ... source (e.g., abscess