52 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
(SBP) on Abdominal ... SBP. ... POCUS for win. ... #SBP #Abdominal ... Pneumoperitoneum #Complex #Ascites
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... ) secondary to SBP ... #Complex #POCUS ... clinical #ultrasound #SBP
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 ... Spontaneous Bacterial Peritonitis ... (SBP) Hepatic
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... • Chills • Abdominal ... Spontaneous #Bacterial #Peritonitis ... #SBP #Diagnosis
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Spontaneous Bacterial Peritonitis ... (SBP) #ESLD
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial Peritonitis ... (SBP) - Diagnosis ... and Management Ascites ... , cefotaxime) SBP ... #SBP #Diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #SBP #diagnosis
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
in SBP on POCUS ... spontaneous bacterial peritonitis ... could predict SBP ... paracentesis, 12% rate of SBP ... #SBP #POCUS #abdominal
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Visualized on POCUS ... Criteria for SBO ... Obstruction #Jejunum #SBO ... #POCUS #clinical ... #ultrasound #abdominal
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... hypertensive source • SBP ... • Secondary Peritonitis ... suggests higher SBP ... w/ ↓ BP) - Dr