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. (See ...
Description: John Carl Hoefs, MD, is a Professor of Medicine at University of California Irvine. He studied medicine at George Washington University in Washington DC. He currently practices and researches in the hepatology field, specifically regarding Hepatitis B, Hepatitis C, Ascites, Chronic liver disease, Liver-spleen scan and Hepatic function.
Description: SBP is particularly common in ascites caused by hepatic cirrhosis. This infection can cause serious sequelae or death. The most common bacteria causing SBP are gram-negative Escherichia coli and Klebsiella pneumoniae and gram-positive Streptococcus pneumoniae; usually only a single organism is involved.
Description: 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/mm 3 is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever
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: 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 instances, SBP results from ...
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Description: How does this MELD calculator work? This is a health tool that determines the MELD Score which is used to estimate the relative severity of the chronic liver disease.. This MELD calculator uses the international normalized ratio time (INR), the serum creatinine and serum bilirubine values in order to display the MELD Score.
Description: Pt is 58 yo M with PMH of alcoholism, HCV with liver cirrhosis (h/o variceal GI bleeds, h/o SBP, h/o hepatic encephalopathy) presents to ED with 2-3 days of altered mental status and fever, you want to rule-out Spontaneous Bacterial Peritonitis and you send your newly minted intern over to get set up for a paracentesis and before you know-it, the intern is back, smiling brightly, with a vial ...
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