Description: The Serum Ascites Albumin Gradient (SAAG) defines presence of portal hypertension (does not differentiate cause) in patients with ascites. This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis.
Description: INTRODUCTION. Spontaneous bacterial peritonitis (SBP) is defined as an ascitic fluid infection without an evident intra-abdominal surgically treatable source .The presence of SBP, which almost always occurs in patients with cirrhosis and ascites, is suspected because of suggestive signs and symptoms, such as fever, abdominal pain, or altered mental status (), though some patients are ...
Description: Develops in large, clinically obvious ascites secondary to cirrhosis Portal hypertension → bowel edema → normal flora translocates across bowel wall into the peritoneum 30% of ascitic patients will develop spontaneous bacterial peritonitis (SBP) in a given year
Description: Total ascites protein
Description: Spontaneous bacterial peritonitis (SBP) is the development of a bacterial infection in the peritoneum, despite the absence of an obvious source for the infection. It is specifically an infection of the ascitic fluid – an increased volume of peritoneal fluid. Ascites is most commonly a complication of cirrhosis of the liver. It can also occur in patients with nephrotic syndrome.
Description: Mixed Ascites: Portal hypertension from cirrhosis with another cause of ascites like tubercular peritonitis or peritoneal carcinomatosis. SAAG ≥1.1 gm/dl in such cases. Points to remember: If SAAG is definitive: determine SAAG only on the 1st paracentesis specimen and donot repeat in subsequent paracentesis.
Description: Spontaneous bacterial peritonitis (SBP) is infection of ascitic fluid without an apparent source. Manifestations may include fever, malaise, and symptoms of ascites and worsening hepatic failure. Diagnosis is by examination of ascitic fluid. Treatment is with cefotaxime or another antibiotic.
Description: II. Diagnostic Classifications a. Spontaneous Bacterial Peritonitis (SBP): PMN > 250x10⁶cells/L AND Culture +ve b. Culture -ve Neutrocytic Ascites (CNNA): PMN > 250x10⁶cells/L yet Culture -ve c. Non-Neutrocytic Bacteracites: PMN 250x10⁶cells/L AND +ve Culture (usually multiorganism, Enterococcus, Fungi)
Description: Among patients with ascites who have been followed for a year, spontaneous bacterial peritonitis (SBP) develops in approximately 10 to 30% and has an estimated in-hospital mortality rate of 20%.[1,2,3] The prevalence of SBP in cirrhotic outpatients is 1.5 to 3.5% and among inpatients is approximately 10%. In most
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