189 results
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel Obstruction ... lumen Complete obstructions ... Incomplete obstructions ... ) #bowel #obstruction ... #sbo #ileus #pathophysiology
Secondary Spontaneous Bacterial Peritonitis (SBP) 
 #Diagnosis #Management #Algorithm #SSBP #SpontaneousBacterialPeritonitis #Secondary #Peritonitis #BMJ
Bacterial Peritonitis (SBP ... Diagnosis #Management #Algorithm ... #SSBP #SpontaneousBacterialPeritonitis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... culture-positive SBP ... PMNs Timing of paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis
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
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... • Perform paracentesis ... Differential #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Arrhythmia • Obstructive ... #criticalcare #algorithm
Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3
Hypotension - Management Algorithm ... standing): - ↓ SBP ... 20 mm Hg - ↓ DBP ... Hypotension #Management #Algorithm
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
and Large Bowel Obstruction ... #Large #Bowel #Obstruction ... #SBO #Differential
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... ventricular outflow obstruction ... Dysautonomia Obstructive ... Differential #Diagnosis #Algorithm