11 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
(SBP) on Abdominal ... Cirrhosis with fever ... SBP. ... #SBP #Abdominal ... Pneumoperitoneum #Complex
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... hypertension (SAAG ... - Myxedema (SAAG ... Mediterranean fever ... #Ascites #Causes
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial Peritonitis ... from secondary peritonitis ... if other signs (fever ... fluoroquinolone to complete ... Spontaneous #Bacterial #Peritonitis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient (SAAG ... • Secondary Peritonitis ... suggests higher SBP ... Summary #Hepatology #SAAG ... #paracentesis
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... of SBI Accounts ... uncharacterized fevers ... (particularly complex ... Classification #Fever
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... Red Flags: • Fever ... bronchoscopy to complete ... Differential #Diagnosis #Algorithm ... #causes
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 ... PittIMPOCUS #Complex ... Ascites #POCUS #SBP
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Red Flags: • Fever ... Work Up: • Complete ... #Causes #dermatology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
lesions, serositis peritonitis ... pulmonary infiltrates, peritonitis ... - Pneumonitis (fever ... Fever, chills, lack ... unintentional weight loss, nausea
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Causes of Fever ... Differential Diagnosis Algorithm ... • Neisseria spp ... Infection #Fever ... #Causes #Hematology