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(https://coreem.net/podcast/episode-13...) This week we explore the presentation, diagnosis and management of SBP. https://media.blubrry.com/coreem/cont... Download (https://media.blubrry.com/coreem/cont...) Leave a Comment (https://coreem.net/podcast/episode-13...) Tags: Gastroenterology (https://coreem.net/tag/gastroenterology/) , Infectious Diseases (https://coreem.net/tag/infectious-dis...) , SBP (https://coreem.net/tag/sbp/) Show Notes Take Home Points • SBP is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis • An ascites PMN count > 250 cells/mm3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever • Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AASLD criteria (Cr > 1.0 mg/dL, BUN > 30 mg/dL or Total bilirubin > 4 mg/dL) Read More Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205. REBEL EM: Spontaneous Bacterial Peritonitis (http://rebelem.com/spontaneous-bacter...) EMRAP: C3 Live Paracentesis Video (https://www.emrap.org/episode/emrapli...) LITFL: Spontaneous Bacterial Peritonitis (https://lifeinthefastlane.com/ccc/spo...) SinaiEM: SBP Pearls (http://sinaiem.org/sbp-pearls/) REBEL EM: Should You Give Albumin in Spontaneous Bacterial Peritonitis (SBP)? (http://rebelem.com/should-you-give-al...) Core EM: Episode 123.0 – Paracentesis Journal Update (https://coreem.net/podcast/episode-12...) Read More (https://coreem.net/podcast/episode-13...)