1/ Approach to Ascites Thread
▪️3-step approach (PMN, SAAG, protein)
▪️Lab evaluation
▪️Differential by fluid color
▪️Correction for bloody fluid
▪️Ascites DDx square (SAAG x Protein)
▪️Bacterial peritonitis profiles
▪️Runyon’s criteria for secondary infection
#LiverTwitter 👊
▪️3-step approach (PMN, SAAG, protein)
▪️Lab evaluation
▪️Differential by fluid color
▪️Correction for bloody fluid
▪️Ascites DDx square (SAAG x Protein)
▪️Bacterial peritonitis profiles
▪️Runyon’s criteria for secondary infection
#LiverTwitter 👊
This is my own approach.
Here are some other really nice resources I have collected. Sharing below in this thread 👇
2/ @EmoryGastroHep Emoroid Digest
🔗 med.emory.edu
Don’t forget the amazing app
📲 apps.apple.com
Here are some other really nice resources I have collected. Sharing below in this thread 👇
2/ @EmoryGastroHep Emoroid Digest
🔗 med.emory.edu
Don’t forget the amazing app
📲 apps.apple.com
3/ @JHepatology
Here with a little more focus on ascites fluid WBC differential.
▪️Neutrophil predominant
▪️Lymphocyte predominant
Also great at guiding next steps in management + work-up!
🔗 jcehepatology.com
Here with a little more focus on ascites fluid WBC differential.
▪️Neutrophil predominant
▪️Lymphocyte predominant
Also great at guiding next steps in management + work-up!
🔗 jcehepatology.com
5/ Approach from @AndreMansoor
Great book
📕 x.com
Love this video and explanation via Starling Forces
🎥 youtube.com
You won’t regret this 11:57 of your life!
Great book
📕 x.com
Love this video and explanation via Starling Forces
🎥 youtube.com
You won’t regret this 11:57 of your life!
6/ @AASLDtweets guidelines
An essential. This is one is on my top 🔟 list for American GI guidelines (ACG, AGA, ASGE, AASLD).
Definitely worth the time to read from start to finish. 🤓📖
🔗 journals.lww.com
An essential. This is one is on my top 🔟 list for American GI guidelines (ACG, AGA, ASGE, AASLD).
Definitely worth the time to read from start to finish. 🤓📖
🔗 journals.lww.com
7/ Runyon’s Criteria
▪️ascites total protein > 1 g/dL
▪️ascites glucose <50 mg/dL
▪️ascites LDH > serum ULN
2️⃣ of 3️⃣ ➡️ SECONDARY 🦠
🙏 @PulmCrit @emcrit
🔗emcrit.org
▪️ascites total protein > 1 g/dL
▪️ascites glucose <50 mg/dL
▪️ascites LDH > serum ULN
2️⃣ of 3️⃣ ➡️ SECONDARY 🦠
🙏 @PulmCrit @emcrit
🔗emcrit.org
8/ @LiverFellow
Couldn’t leave these folks out! Love the work you all are doing!
Would love to see more of these.
@HershShroff @adam_c_winters
Couldn’t leave these folks out! Love the work you all are doing!
Would love to see more of these.
@HershShroff @adam_c_winters
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