22 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... Note gas bubbles ... clinical #ultrasound #Gas ... Pneumoperitoneum #Complex
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 ... Ascites #POCUS #SBP ... ultrasound #abdominal #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis ... fluoroquinolone to complete
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient (SAAG ... suggests higher SBP ... more than above as ... Summary #Hepatology #SAAG ... #paracentesis
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound Fever ... This #POCUS has ... a complex cystic ... #POCUS #Liver #Abscess
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
on POCUS Fever, ... low BP with lower ... Pelvis sag of RUSH ... Patient has ruptured ... --that is what was
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... signs defined as ... standing): - ↓ SBP ... reconciliation, Assess ... Hypotension #Management #Algorithm
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
common cause of SBI ... uncharacterized fevers ... CSF evaluation as ... (particularly complex ... Classification #Fever
“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 ... Infant #StepByStep #Algorithm ... Stratification #Fever
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
infection - Management Algorithm ... • Persistent fever ... endocarditis, epidural abscess ... • Persistent fever ... CRBSI but patient has