Podcast 676: Spontaneous Bacterial Peritonitis скачать в хорошем качестве

Podcast 676: Spontaneous Bacterial Peritonitis

Contributor: Sam Killian, MD Educational Pearls: 1. Patients with cirrhosis and ascites are frequently evaluated for spontaneous bacterial peritonitis, an infection of the ascites fluid that is not from a surgically treated source 2. Fever, abdominal pain, and altered mental status should all raise clinical suspicion in a patient with ascites 3. Fluid from paracentesis may show increased WBCS (polys and neutrophils), high LDH, high amylase, and decreased glucose 4. Outcomes are very poor in these patients with 30-40% of these patients continue to renal failure with 60-80% in-hospital mortality 5. Typically treat with a third generation cephalosporin or ampicillin+gentamicin References: Long B, Koyfman A. The emergency medicine evaluation and management of the patient with cirrhosis. Am J Emerg Med. 2018;36(4):689-698. doi:10.1016/j.ajem.2017.12.047 MacIntosh T. Emergency Management of Spontaneous Bacterial Peritonitis - A Clinical Review. Cureus. 2018;10(3):e2253. Published 2018 Mar 1. doi:10.7759/cureus.2253 Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cm... and create an account. Donate to EMM today: https://www.paypal.com/donate/?token=... Episode Link on Website: https://emergencymedicalminute.org/po...