20 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
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
POCUS Paracentesis ... to r/o SBP in pt ... with abd pain & fever ... ; r/o SBP much more ... #POCUS #Ascites
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 ... Summary #Hepatology #SAAG ... #paracentesis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... ) on Abdominal POCUS ... Cirrhosis with fever ... SBP. ... POCUS for win.
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... PMNs Timing of paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites in SBP ... on POCUS Setting ... up for paracentesis ... suspicion for SBP ... #POCUS #clinical
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
diagnostic and tx paracentesis ... weeks ago, no fevers ... On cipro for sbp ... pocket for dx + tx paracentesis ... #SBP #clinical
“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
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites in SBP ... on POCUS RUQ FF ... who underwent paracentesis ... 72% sensitive; #POCUS ... #POCUS #abdominal
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 ... Vesiculobullous #Rash #Algorithm