17 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup ... Algorithm • ... Perform paracentesis ... • Calculate SAAG ... #Differential #Diagnosis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... #differential #diagnosis ... #algorithm
Ascites - Workup and Management

#Ascites #Workup #Diagnosis #Management #SAAG #Evaluation #SBP #Hepatology
Ascites - Workup ... Management #Ascites ... #Workup #Diagnosis ... #Management #SAAG ... #Evaluation #SBP
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... (SAAG): > 1.1 g ... hypertensive source • SBP ... suggests higher SBP ... #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Paracentesis: ... by inoculating ascitic ... if other signs (fever ... #diagnosis #management
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
hypertension (SAAG ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG ... Mediterranean fever ... #Causes #diagnosis
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... to r/o SBP in pt ... with abd pain & fever ... ; r/o SBP much more ... #POCUS #Ascites
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Cirrhosis and Ascites ... Ascites Workup ... Algorithm Ascites ... Bacterial Peritonitis (SBP ... Complications #diagnosis
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 ... weeks ago, no fevers ... On cipro for sbp ... #POCUS #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 ... CRP < 20 mg/L #Diagnosis ... Stratification #Fever