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diagnosis management bacterial cholecystitis clinical distended febrile gangrenous infant lp membranes pediatrics peds peritonitis pocus prophylaxis risk ruq spontaneous stepbystep
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... • Early (<12h) paracentesis ... improved outcomes 1) Antibiotics ... Day 3 repeat paracentesis
“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 ... #LP #Antibiotics ... Stratification #Fever
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Ill-appearing, low BP ... in a gallbladder ... on sag image. ... distended: 20 cm sag
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