182 results
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Approach and Differential ... edema (LR 0.17), shifting ... ) - fluid wave/shifting ... Cell count and differential ... #workup #Differential
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
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 ... gradient #hepatology #differential
Ascites: Physical Exam Diagnostic Accuracy

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

Source: Joseph D.
Ascites: Physical ... and Specificity: Shifting ... #PhysicalExam #Ascites
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
(high SAAG) + ascites ... PMN > 250 • Treatment ... Positive Culture • Treatment ... Peritoneal #diagnosis #differential ... #ascites
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... , the differential ... This differential ... workup #algorithm #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

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

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... culture • Check ascites ... SAAG and check ascites ... MatthewHoMD #Ascites ... #Differential #
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... ↓Ventilation (↑Shunting ... Hypoxemia #Hypoxia #Differential
Shifting Dullness to Detect Ascites on Physical Exam
1) Perform with the patient supine.
2) Percuss across the
Shifting Dullness ... to Detect Ascites ... Positive test: When ascites ... #Ascites #Shifting