8 results
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... and Management ... #Diagnosis #Management ... #SAAG #Evaluation ... #SBP #Hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... Algorithm • ... Perform paracentesis ... • Calculate SAAG ... #Differential #Diagnosis
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... (SAAG): > 1.1 g ... suggests higher SBP ... #Diagnosis #Management
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Algorithm Ascites ... Management Refractory ... Bacterial Peritonitis (SBP ... Complications #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Paracentesis: ... by inoculating ascitic ... Diuretics ↑ ascitic ... #diagnosis #management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
care center for diagnostic ... and tx paracentesis ... On cipro for sbp ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... spironolactone (2:5 ratio), paracentesis ... I - Infection (SBP ... Checklist #Mnemonic #Management ... #Diagnosis #Hepatology
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... POCUS GB done. ... Diagnosis? ... surrounded by ascites ... Diagnosis: Gangrenous