53 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
- Differential Diagnosis ... and Workup Algorithm ... • Perform paracentesis ... • Calculate SAAG ... #Differential #Diagnosis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... Serum-ascites-albumin-gradient (SAAG ... hypertensive source • SBP ... suggests higher SBP ... Summary #Hepatology #SAAG
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Paracentesis: ... if other signs (fever ... fluoroquinolone to complete ... #diagnosis #management
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... Cirrhosis with fever ... SBP. ... Abdominal #POCUS #clinical ... Pneumoperitoneum #Complex
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 ... POCUS #clinical
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
Algorithm for the ... between simple and complex ... #Diagnosis #Management ... FebrileSeizure #Fever ... #Seizure #Algorithm
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 #Clinical
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... unformed) PNA diagnosed ... 3) Meningitis Diagnose ... (particularly complex ... Classification #Fever
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Fever • ... Abdominal pain Diagnosis ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... care center for diagnostic ... weeks ago, no fevers ... On cipro for sbp ... #clinical #ultrasound