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diagnosis ascites differential management abdominal abscess bacterial causes clinical gastroenterology hematology immunecompromised immunocompromised peritonitis pocus prophylaxis spontaneous summary treatment ultrasound
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
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient (SAAG ... hypertensive source • SBP ... suggests higher SBP ... Management #Summary #Hepatology ... #SAAG #paracentesis
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 ... PittIMPOCUS #Complex ... Ascites #POCUS #SBP
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 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
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