Indications for SBP prophylaxis in Cirrhotics:
1) History of SBP
2) Ascites protein component <1 g/dL
3) GI bleeding
SBP can precipitate acute renal injury:
- Albumin should be given on Day 1: 1.5g/Kg, Day 3: 1g/Kg which has shown to decrease renal impairment in SBP.
Posted 06/06/16 09:31:30 AM by Adam Faye
- SBP: PMN's >250 or Culture +
- Culture-negative neutrocytic ascites: PMN's >250, Culture -
- Secondary Peritonitis: PMN's >250, usually polymicrobial
Posted 06/06/16 09:36:36 AM by Adam Faye
Reverse S-sign of Golden:
- Typically seen with RUL collapse from a central mass obstructing the bronchus
Posted 06/06/16 09:48:39 AM by Adam Faye
SIADH: Hypoosmolar, euvolemic - often will have some of the following features
- Inappropriately elevated urine osm (at least above 100)
- Urine sodium usually >40 (Patients with SIADH can have low urine Na if they are also volume depleted or extremely low Na intake)
- Hypuricemia (increased uric acid clearance)
Posted 06/06/16 09:59:59 AM by Adam Faye
Ectopic ADH secretion from a lung cancer; Most likely Small Cell Lung Cancer.
Posted 06/06/16 10:07:06 AM by Adam Faye
For further reading...
Posted 06/06/16 10:05:40 AM by Adam Faye
Created by Christopher Kelly
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