642 results
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
arteriovenous shunting ... cirrhosis: jaundice, ascites ... digital clubbing DIAGNOSIS ... the left heart TREATMENT ... only definitive treatment
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Ascites: Physical ... Exam Diagnostic ... and Specificity: Shifting ... #Diagnosis #PhysicalExam ... #Ascites #Accuracy
Shifting Dullness to Percussion on Physical Exam to Detect Ascites

Dr. André Martin Mansoor @AndreMansoor

#Shifting #Dullness #Percussion
Shifting Dullness ... Exam to Detect Ascites ... AndreMansoor #Shifting ... #PhysicalExam #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... and Differential Diagnosis ... edema (LR 0.17), shifting ... ) - fluid wave/shifting ... #Differential #Diagnosis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ascites ... SAAG ≥ 1.1: - Ascitic ... metastases - Ascitic ... #differential #diagnosis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
(high SAAG) + ascites ... PMN > 250 • Treatment ... Positive Culture • Treatment ... Secondary #Peritoneal #diagnosis ... #differential #ascites
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
Suggested diagnostic ... with exudative ascites ... Low ascitic fluid ... the differential diagnosis ... #diagnosis #workup
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 ... #Cirrhosis #Ascites ... Complications #diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... - Serum Ascites ... • Pancreatic ascites ... #Differential #Diagnosis
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... culture • Check ascites ... SAAG and check ascites ... #Differential #Diagnosis