187 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
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
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Guidelines as SBP ... weeks gestation, SBP ... weeks gestation: SBP ... doubling of Cr), pulmonary ... Severe Features: SBP
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
SHOCK • MAP <65, SBP ... <90, drop in SBP ... Myocarditis, Arrhythmia Obstructive ... , CVP > 12 • Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Arrhythmia • Obstructive ... : Pulmonary Embolism
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
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
valvulopathy • Pulmonary ... ventricular outflow obstruction ... • Pulmonary hypertension ... Dysautonomia Obstructive
Pulmonary Function Testing: Flow Volume Loop Patterns
 • Variable extra-thoracic obstruction - truncated or flattened inspiratory
Pulmonary Function ... extra-thoracic obstruction ... intra-thoracic obstruction ... flow • Fixed obstruction ... FlowVolume #Loops #pulmonary
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