14 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... • Calculate SAAG ... Differential #Diagnosis #Algorithm ... gastroenterology #hepatology
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. ... Diverticular abscess ... Pneumoperitoneum #Complex
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... Serum-ascites-albumin-gradient (SAAG ... suggests higher SBP ... Management #Summary #Hepatology ... #SAAG #paracentesis
Liver Mass - Differential Diagnosis Algorithm
Cystic:
 • Benign 
     - Simple: Simple
Differential Diagnosis Algorithm ... Caroli's - Complex ... - Infectious: Abscess ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
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
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
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
Vesiculobullous Rashes - THE ALGORITHMIC APPROACH 
Vesiculobullous rashes provoke significant angst
in many physicians (Figure 5, page
Vesiculobullous Rashes - THE ALGORITHMIC ... vesiculobullous rash and a fever ... localized lesions and fever ... bullous pemphigus (BP ... #Diagnosis #Dermatology
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Causes of Fever ... Infection • Abscess ... • Neisseria spp ... Infection #Fever ... #Causes #Hematology
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... petechiae/purpura with fever ... petechiae/purpura with fever ... petechiae require complete ... #Diagnosis #Dermatology