16 results
Ascites - Workup and Management

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

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... • Perform paracentesis ... culture • Check ascites ... SAAG and check 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 ... #Cirrhosis #Ascites
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... by inoculating ascitic ... Day 3 repeat paracentesis ... Diuretics ↑ ascitic ... mortality • Ascitic
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis ... Hepatology #SAAG #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 ... ultrasound_vcu #Complex #Ascites
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... POCUS Paracentesis ... to r/o SBP in pt ... pain & fever; r/o SBP ... #POCUS #Ascites
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Restriction - Never Work-horse ... In A Pinch - Paracentesis ... @ebtapper #Ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... On cipro for sbp ... pocket for dx + tx paracentesis ... #POCUS #SBP #clinical
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... could predict SBP ... who underwent paracentesis ... #Echogenic #Ascites