Abnormal buildup of fluid in the abdomen
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When is it time to move from repeat drainage to a tunneled catheter for managing pleural effusions or ascites? On this episode of BackTable Podcast, Dr. Neil Jain interviews Dr. Marco Ertreo, interventional radiologist and IR residency program director at Strong Memorial Hospital, University of Rochester, about best practices for tunneled catheter management in both the chest and abdomen. They discuss the triggers for placing a tunneled catheter, patient selection, placement technique, home drainage protocols, complication management, and the unique considerations for malignant versus cirrhotic ascites. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction06:39 - Indications and Pleural Catheter Placement Technique12:10 - Tunneling, Cuff Position and Exit Site Selection17:42 - Home Drainage, Volume Limits and Complications26:13 - Peritoneal Catheters, TIPS Candidacy and Catheter Choice35:16 - Avoiding Bowel and Varices43:42 - Key Takeaways and Closing Remarks --- More about this episode Dr. Ertreo shares practical details about pocket selection, access points, catheter testing, and choosing Tenckhoff catheters for abdominal cases to avoid proprietary systems. The conversation covers volume limits, complication counseling, criteria for removal, and the psychological impact of living with a long-term drain. They discuss when to consider TIPS for cirrhotic patients, the importance of early conversations with patients and referring providers, and why multidisciplinary teamwork and family support are essential for long-term success. --- Resources Aggressive versus symptom-guided drainage of malignant pleural effusion via indwelling pleural catheters (AMPLE-2): an open-label randomised trialhttps://pubmed.ncbi.nlm.nih.gov/30037711/ Management of Malignant Pleural Effusions. An Official ATS/STS/STR Clinical Practice Guidelinehttps://www.atsjournals.org/doi/10.1164/rccm.201807-1415ST Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions, Part II: Recommendationshttps://pubmed.ncbi.nlm.nih.gov/31229333/ Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases (AASLD)https://pubmed.ncbi.nlm.nih.gov/33942342/ --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
In May 2022, Tina Calderone-Roth felt terrible. She was experiencing fatigue, shortness of breath and nausea. She also gained close to 15 pounds in three days. Nurses she knew suggested she go to the emergency department. Two paracentesis procedures resulted in the removal of 6.5 liters of fluid. Doctors initially noticed a large abdominal mass, but further tests indicated ovarian masses of 7cm and 10cm. Tests also showed Tina had the BRCA-2 gene mutation. She opted to, all at once, undergo a hysterectomy and bilateral oophorectomy. A week after the procedure, it was learned there had been Stage 1B cancer in both ovaries. Tina was next put on six rounds of chemotherapy with carbo-taxol, avastin and the PARP inhibitor, lynparaza. Because of the BRCA-2 gene mutation and with it, the possibility of breast, she decided to get a bilateral mastectomy. Tina reached survivorship and these days, while she can no longer run, she can jog and power walk. Tina had been working for more than two decades in the care management sector of health care in 2022, when her health took a sudden turn for the worse. She was feeling unusually tired, had shortness of breath and her weight shot up by 15 pounds in three days. She had no idea what was going on, but consulted friends who were nurses, and they suggested she go to the emergency department, which she did in the middle of a workday. Tina underwent a CT scan, ultrasound, electrocardiogram, blood work and genetic testing. A subsequent pair of paracentesis procedure removed a combined 6.5 liters of fluid, which explained her sudden, sharp weight gain. Those tests also showed she had a large abdominal mass. Further tests were conducted and they revealed two large ovarian masses, measuring roughly 7cm and 10cm. Meanwhile, the genetic testing revealed Tina had the BRCA-2 gene mutation. She did not want to have multiple surgeries, so she elected to have a hysterectomy along with the removal of both ovaries. About a week later, it was determined the ovaries were cancerous. She and her care team settled on a six-round chemotherapy regimen of carbo-taxol, avastin and the PARP inhibitor, lynparaza. Like many dealing with chemotherapy, Tina was fatigued, had nausea and suffered hair loss, but got through it. She was still concerned about the possibility of being diagnosed with breast cancer because of the gene mutation, so she decided to undergo a bilateral mastectomy. If Tina Calderone-Roth's health before her diagnosis could be considered 100 percent, these days she considers her health to be at 90 percent. While she can no longer run, Tina says she can jog and power walk. Additional Resources: Tina's Book: "Where Fears Meets Faith," available on amazon.com and barnesandnoble.com, in paperback and Kindle
Q-Bank: https://www.patreon.com/highyieldfamilymedicineIntro (0:35),Liver Function Tests (1:42),Hepatitis A (4:33),Hepatitis B (6:02),Hepatitis C (8:44),MASLD (10:51),Alcoholic Liver Disease (12:11),Autoimmune Hepatitis (13:29),Acetaminophen Toxicity (14:53),Wilson Disease (15:55),Hemochromatosis (17:28),Cirrhosis (18:48),Ascites (20:59),Esophageal Varices (23:36),Hepatic Encephalopathy (24:54),Hepatorenal Syndrome (26:31),Hepatocellular Carcinoma Screening (27:52),Practice Questions (28:39)
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Pamela Deasy was in her early 40s, working full time and volunteering with the RNLI, when fatigue started dragging her back into bed in the middle of the day. Her bloods were clear. She was told it was perimenopause, then depression. Months passed before a kinesiologist, of all people, pointed at her pancreas — and within days she was in a Cork hospital being told she had a tumour.In this episode, Pamela sits down with Laura to walk through what happened next: the chemotherapy that made her legs turn to jelly, the five and a half weeks of daily radiotherapy that put her on her back in hospital, and the Whipple surgery that took out the head of her pancreas, part of her stomach, part of her intestine, her gallbladder and her spleen. Then the slower, quieter battle that came after — the seven and a half stone she lost, the survivor guilt nobody warned her about, the Survive and Thrive programme that helped her step back into the world, and the small camping toilet she now keeps in her car because that is the honest reality of life after Whipple surgery.Pamela also shares why she co-founded Pancreatic Cancer Ireland, what the signs of pancreatic cancer actually look like, and why "listen to your gut and keep going back" might be the most important sentence you hear this week.
In this episode, we review the high-yield topic of Ascites from the Gastrointestinal section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Beth Lehman went through a tumultuous year in 2020. Thanks to heavy drinking, she was diagnosed with cirrhosis, then basal cell carcinoma, a type of skin cancer, followed by hepatocellular carcinoma, a form of liver cancer. She underwent radioactive embolization in order to get a liver transplant. Beth said the two-hour operation wasn't so tough, but the after-effects were difficult, including nausea and vomiting. Then she experienced a procedure to get rid of the skin cancer on her right temple. She says between her physical and emotional recovery, she advocates for cancer patients and is happier than ever. Beth's alcohol consumption had soared to four or five bottles of wine a day. In 2020, she began to have a buildup of fluid in her stomach, known as ascites. For a long time, she avoided consulting a doctor, suspecting a doctor would tell her to quit drinking; but when ascites asserted itself, she sought medical attention. She was diagnosed with cirrhosis. Upon further examination, five tumors were discovered in her liver, which led to a diagnosis of hepatocellular carcinoma, a form of liver cancer. This diagnosis came after another diagnosis of basal cell carcinoma, but the skin cancer had to take back seat to the liver cancer. Beth said her care team first had to determine whether the cancer had spread beyond her liver. Thankfully, it hadn't. In order to complete a liver transplant, doctors wanted to execute radioactive embolization, in which radiation beads would be injected into her arteries through her wrist or groin and targeted at the tumors. However, for that to happen, the tumors had to be 2cm, but her largest tumor was 1.87cm. Incredibly, Beth's care team told her to go home and let the tumors grow so they would be large enough for it to go through with the radioactive embolization. Once the tumors grew, Beth went through the procedure, also known as Y-90. She had to go through the procedure a second time. Usually, a second procedure comes eight to twelve weeks after the first procedure. Beth's second procedure came just four weeks later. She said she was awake during each procedure, each lasted about two hours, but the toughest part was post-treatment, as she had a great amount of radiation in her body, so much that upon returning home, she had to be sequestered from her husband and her pet cats. Once she recovered from her liver transplant, she had her skin cancer treated. She said her doctors had to go seven layers deep to get all the cancer, but they did such an outstanding job that her incision is not visible. Beth Lehman once had a lucrative IT position, but these days she works as an advocate for cancer patients, especially liver cancer patients and says she is happier than ever. Additional Resources: Support Groups: The American Liver Foundation https://www.liverfoundation.org Beth's Nonprofit, The Liver Circle https://www.thelivercircle.org Beth's Personal Page with Her Story: https://www.bethlehmanliver.com
Episode 200: All About Ascites. Jesica Mendoza explains the pathophysiology, diagnosis and management of ascites. Dr. Arreaza adds input about early detection and prevention of spontaneous bacterial peritonitis. Written by Jesica Mendoza, OMS IV, Western University, College of Osteopathic Medicine of the Pacific. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Welcome to our episode 200! It is an honor to welcome back a wonderful medical student, her name is Jesica, and she has prepared this topic, and she is excited to share this information with us. Jesica presented in June this year an episode about gestational diabetes (episode 193) and today she will talk about ascites. Jesica, please tell us who you are again. What is ascites?Ascites is the buildup of fluid in between the visceral peritoneum and the parietal peritoneum in the abdomen. This is often caused by cirrhosis of the liver due to the increased portal HTN which leads to increased nitrous oxide (NO) and prostaglandins which then causes splanchnic vasodilation and decreased effective arterial volume. The decrease in arterial volume then causes an increase in the renin–angiotensin–aldosterone system (RAAS) and antidiuretic hormone (ADH) from the renal system which leads to sodium and water retention. This then causes a net reabsorption of fluids and ascites.Evaluation of ascites.Once someone has been found to have ascites the next step will be a diagnostic paracentesis. This includes removing fluid from the peritoneal cavity in order to determine the SAAG (Serum Ascites Albumin Gradient) score. SAAG : (serum albumin) − (albumin level of ascitic fluid). The two values should be measured at the same time.This score helps determine the cause of the ascites with a score >1.1 g/dL indicating portal hypertension usually due to liver disease such as cirrhosis. A SAAG score of 250 PMNS/mL. Fluid should be sent to the lab for culture and then antibiotics should be started. IV 3rd generation cephalosporins are typically used. Fluoroquinolones are also used to prevent the recurrence of SBP.If you desire to learn more about SBP, listen to our episode 123. By the way, propranolol is a frequently used medication to prevent GI bleeding from esophageal varices in cirrhosis and also to decrease the development of ascites. It should be used in patients who have compensated cirrhosis and must be avoided in patients with refractory ascites, hypotension, renal dysfunction or active infection. So, to wrap things up we should remember that once we identify ascites with our physical exam of the patient, we should make sure to obtain a paracentesis as these results will be the main guide for our treatment. The treatment can then range from medical treatment such as spironolactone and/or loop diuretics to TIPS procedures, PleurX or even liver transplant. Always be on the lookout for SBP in patients with ascites and always remember to obtain a culture on the ascitic fluid prior to starting antibiotics. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Ascites, Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/14792-ascites.Huang LL, Xia HH, Zhu SL. Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites. J Clin Transl Hepatol. 2014 Mar;2(1):58-64. doi: 10.14218/JCTH.2013.00010. Epub 2014 Mar 15. PMID: 26357618; PMCID: PMC4521252. https://pmc.ncbi.nlm.nih.gov/articles/PMC4521252/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Abdominal Paracentesis in the second of two parts on this topic.Please see the following two videos referenced in today's podcast:]Royal Derby Hospital - Abdominal Therapeutic Paracentesis VideoMedical Education Lothian - Preparing you for Ascitic InterventionsWe recommend considering listening to the following other podcast episodes to supplement this episode:Episode 16 - Ascites and TIPS ProcedurePodomatic Apple Podcasts SpotifyEpisode 262 - Ascitic Tap and Abdominal Paracentesis Part 1Podomatic Apple Podcasts SpotifyFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
In this episode of It Takes Balls, pediatric anesthesiologist Aaron Bernotas shares his rollercoaster journey through testicular cancer - one that had fertility challenges, grueling treatment, and rare complications that pushed him to the brink.Aaron opens up about discovering a lump, downplaying it at first, and ultimately undergoing surgery the day after his urologist confirmed it was suspicious for cancer. While the orchiectomy seemed routine, the aftermath was anything but. Shortly after, Aaron was diagnosed with azoospermia (no sperm), forcing him and his wife to pursue IVF with micro-TESE. Despite setbacks, they now have a daughter - one of two embryos that survived.The episode dives into the emotional impact of facing cancer while juggling a demanding medical career and processing the blow of infertility. Aaron later faced recurrence, underwent three rounds of BEP chemotherapy, and then an RPLND surgery. But what followed was a rare complication: chylous ascites, a buildup of lymphatic fluid in the abdomen. After months of procedures - including multiple drainings, gluing, a second exploratory surgery, and the placement of a Denver shunt - his condition finally resolved over 18 months after his initial diagnosis.Aaron reflects on the brutal physical toll of this journey, the unwavering support from his wife and family, and the resilience it took to keep showing up. Join The Ball Room:https://www.testicularcancerawarenessfoundation.org/theballroomWant to be a guest? Apply here:https://www.testicularcancerawarenessfoundation.org/it-takes-balls-submissionsFollow Testicular Cancer Awareness Foundation:https://www.testescancer.orghttps://www.twitter.com/testescancerhttps://www.instagram.com/testescancerhttps://www.facebook.com/tca.orgFollow Steven Crocker: https://www.twitter.com/stevencrockerhttps://www.instagram.com/stevencrockerhttps://www.facebook.com/steven.crocker2Connect with Aaron:https://www.facebook.com/aaron.bernotashttps://www.instagram.com/bernotas64/Theme song: No Time Like Now - Tom Willner www.tomwillner.com
Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Ascitic Tap and Abdominal Paracentesis in the first of two parts on this topic.We recommend considering listening to the following other podcast episodes to supplement this episode:Episode 16 - Ascites and TIPS ProcedurePodomatic Apple Podcasts SpotifyEpisode 265 - Ascitic Tap and Abdominal Paracentesis Part 2Links TBCFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
Title – Ascites Episode description RR discuss a case of ascites Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan
A patient with ascites is most likely to develop which of the following complications? Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects. #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy
Beyond refractory ascites and variceal bleeds, the TIPS procedure has evolved to address new indications over the past two decades, including acute and chronic mesenteric venous ischemia, Budd-Chiari Syndrome, hepatorenal syndrome, pre-liver transplant preparation, and palliative care for cancer-related complications. This podcast will feature a candid discussion among experienced interventional radiologists about case selection, the procedures, pitfalls encountered, and future directions.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. Today he interviews Dr. Hamza Sohail, a gastroenterology fellow at Baystate Health, and they discuss ascites. This episode is brought to you by Mindray & Aegle Medical, manufacturer and distributor of the Hepatus-series platform, which is a NexGen vibration-controlled elastography technology used to stage and monitor liver disease.
Ascites is the accumulation of fluid in the peritoneal cavity that causes abdominal distention. It is a common complication of cirrhosis but can also occur in other conditions such as cancer, heart failure, tuberculosis, and dialysis. Ascites can lead to significant problems for your patient, including respiratory compromise, hypotension, and even peritonitis. Hit play on this episode to learn: The pathophysiology of ascites Signs and symptoms of ascites Ascites diagnostic tests Complications of ascites Ascites treatment And, to wrap it all up, we'll go through an ascites case study together! ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides. Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! Clinical Success Pack - One of the best ways to fast-track your clinical learning is having the right tools. This pack includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet.
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In this episode of My Thyroid Health, we learn if hypothyroidism can be the reason behind ascites, a buildup of fluid in the abdomen. What you will learn: What is ascites? Does hypothyroidism cause ascites? When should you suspect ascites? Treating ascites: case studies A note from Paloma Check out our blog and read the full article here. About Paloma Health: Paloma Health is an online medical practice focused exclusively on treating hypothyroidism. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. Become a member, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout. Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout.
Dr. Amy Kaplan, DACVECC here today! In today's VETgirl online veterinary CE podcast, we're going to explore the various diagnostics tools available to us to workup nonhemorrhagic ascites in dogs beyond our initial physical examination. Now in the ER, when I tap an abdomen and it comes back as blood, I'm all over it – the majority of the time, it's often secondary to hemangiosarcoma or less common causes such as hemangiomas or hematomas (which DO happen!). Less commonly, I'll see patients present with abdominal effusion that is considered a nonhemorrhagic ascites (what we'll call NHA from now on) – this is fluid with a packed cell volume of < 10%). A variety of diseases can cause NHA including right-sided congestive heart failure, neoplasia, liver failure, hypoalbuminemia, pancreatitis, chyloabdomen, uroabdomen, or septic peritonitis. So, when it's NOT blood, how do you figure out the cause of the ascites?Sponsored By: Royal Canin
In today's VETgirl online veterinary CE podcast, we're going to review a study by Morey et al out of University of Missouri entitled “N-terminal brain natriuretic peptide, cardiac troponin-I, and point-of-care ultrasound in dogs with cardiac and noncardiac causes of nonhemorrhagic ascites.”
Today we have one tip for shocky patients on the floor supplemented by some info from the Management of the Hospitalized Patient 2023 (more coming in the future!), and a bunch of tips including TIPS for managing upper GI bleeds, Ascites, SBP, and HRS. | 00.00 Opening & TOC | | 01.02 Consider vasopressors via PIV - JHM 2022, Surviving Sepsis 2021 | | 04.15 Upper GI bleeding - ACG 2021 | | 05.26 Ascites, SBP - AASLD 2021 | | 07.32 Hepatorenal Syndrome | | 08.04 Closing | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness. All information contained in this episode are the opinions of the respective speakers and not necessarily the views their respective institutions or UCSF, and is only provided for information purposes, not to diagnose or treat.] Additional Credits: Contents by the Clinical Knowledge Communicty Dispatch. Music by Amit Apte. Drip Vectors by Vecteezy
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Following the SOAP approach, we review Subjective, Objective, Assessment & Plan for Ascites & Peritonitis. Exudative versus Transudative classification compared to new SAAG-based classification are discussed for differential diagnosis. Values of SAAG in relation to Protein content, Cell count, LDH and Glucose and pH values as well as major risk factors are discussed to differentiate primary (spontaneous) versus 2ndary bacterial peritonitis. and management guidelines provided. Needs some mathematical understanding of SAAG formula and couple exceptions to the rules (as discussed).
In this episode, we review the high-yield topic of Ascites from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Joanne e Ingrid Froehner falam sobre indicações de albumina, como prescrever e quando não usar.
Ascites is the final consequence in a series of anatomic, pathophysiologic, and biochemical abnormalities and one of the most common complications of advanced cirrhosis.This EASL Studio will be discussing:Is it all about portal pressure?Which treatment option for which patient?Which trials are needed?FacultyProf. Thomas Reiberger (Moderator)Prof. Benjamin Maasoumy (Faculty)Prof. Virginia Hernández-Gea (Faculty)Prof. Cristina Ripoll (Faculty)All EASL Studio Podcasts are available on EASL Campus.
This is what I would do if I had ascites. Dr. Berg's Keto and IF Lab: https://www.facebook.com/groups/drbergslab/ How to Bulletproof your Immune System FREE Course: https://bit.ly/39Ry3s2 FREE MINI-COURSE ➜ ➜ Take Dr. Berg's Free Keto Mini-Course! ADD YOUR SUCCESS STORY HERE: https://bit.ly/3z9TviS Find Your Body Type: https://www.drberg.com/body-type-quiz Talk to a Product Advisor to find the best product for you! Call 1-540-299-1557 with your questions about Dr. Berg's products. Product Advisors are available Monday through Friday 8 am - 6 pm and Saturday 9 am - 5 pm EST. At this time, we no longer offer Keto Consulting and our Product Advisors will only be advising on which product is best for you and advise on how to take them. Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. Dr. Berg's Website: http://bit.ly/37AV0fk Dr. Berg's Recipe Ideas: http://bit.ly/37FF6QR Dr. Berg's Reviews: http://bit.ly/3hkIvbb Dr. Berg's Shop: http://bit.ly/3mJcLxg Dr. Berg's Bio: http://bit.ly/3as2cfE Dr. Berg's Health Coach Training: http://bit.ly/3as2p2q Facebook: https://www.facebook.com/drericberg Messenger: https://www.messenger.com/t/drericberg Instagram: https://www.instagram.com/drericberg/ YouTube: http://bit.ly/37DXt8C Pinterest: https://www.pinterest.com/drericberg/
What no oncology patient wants to see or hear... "New lesions. One here... another new lesion here... here... here." "Ascites and another new pocket of fluid here." I'm relying on treatment and some sort of crazy positive... possible outcome. One that, I'm not sure really at this point what to expect. I honestly believe... I am just fooling myself. I had an e-visit this morning to go over things with my hospital specialists and let's face it... things don't look very promising. After I got off that e-visit... I just cried. More so out of frustration. Lately, I have become more angry at myself... for deciding to save myself six years ago. Maxing out the gold standard so to speak, oncology treatments. They didn't even work. Instead, I was released with a five year prognosis. Right now, I feel as if my specialists are just joining me along on this crazy ride to spare me... a bit more time. I'm not even sure if a bit more time is worth this roller-coaster ride?. Then my specialists assistant calls to go over new medication to help control the pain, that let's face it... has gotten a hell of a lot worse. Hearing recent scan reports, it's no wonder and should it really come as a shock?.. No. More PA forms and other red flags, hurdles for even hospital specialists to jump through with the insurance company. Now since I have two different insurance plans... we are crossing fingers things get approved much sooner! I was hit with a lot of tough questions and decisions that will need answered during my next hospital visit. Five weeks to be precise. I'd be crazy to think... I have no fears. My five year prognosis has come and gone. I then made it past the six year mark. Now as I was told, "Things are progressing and so are secondary complications. Your pain is going to continue getting worse. Do you have all of your wishes in writing?" I made a phone call after my e-visit to an attorney that the scheduling nurse gave me. If only to make sure I do have all of my wishes correctly, legally documented. I had to make, once again, changes over the past few months. Maybe... I need to make a few other changes?. I'm not sure, but that's why the nurse felt it is good to just sit down and go over everything with an attorney. If I can't physically meet, at least the law office offers video appointments. I have a lot of concerns... obvious fears regarding the path my health is taking. The pain itself concerns me. Especially, because it is starting to radiate in areas that it has yet to reach. The "It's going to continue getting worse part." That is what scares me, because no one wants to be in pain 24/7 that only continues getting worse, not better. Not having much, if any kind of appetite lately, at least makes perfect sense now. You can't get past the reports. Medical reports don't lie. What you can't see with the naked eye. There were three very valid questions that were asked of me. Decisions that will need to be answered. At least... I have five weeks, soul searching. For now, at least I am still able to get out on the daily. Walking has always been a way to help free my mind, any stress and to reset myself. At least, I am still able to do so with my beloved Snoreo. He has truly stepped it up since Blue's passing. If there was ever a soul dog... Snoreo is mine. I promised him, we will stick together till the end. ❣️
Cancer ki Baat - Dr. Minish Jain ke saath (कैंसर की बात, डॉ. मिनिष जैन के सा
Ascites is a condition in which fluid collects in spaces within our abdomen. As fluid collects in the abdomen, it can affect our lungs, kidneys, and other organs. Ascites cause abdominal pain, swelling, nausea, vomiting, and other difficulties. Ascites is a common phenomenon in many cancer types and require a structured approach to deal with. In the last episode, we have discussed what is Ascites, who get affected by it, and what are the implications of Ascites? In today's episode, we have discussed the probable treatment or management options for Ascites. Hope this helps. See you soon. Jai Hind
Ascites is a condition in which fluid collects in spaces within our abdomen. As fluid collects in the abdomen, it can affect our lungs, kidneys, and other organs. Ascites cause abdominal pain, swelling, nausea, vomiting, and other difficulties. Ascites is a common phenomenon in many cancer types and require a structured approach to deal with. In today's podcast, we have discussed what is Ascites, who get affected by it, and what are the implications of Ascites? Hope this helps. See you soon. Jai Hind
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Go online to PeerView.com/XNU860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert on refractory ascites and esophageal variceal hemorrhage (EVH) discusses evidence-based strategies to improve patient outcomes. Upon completion of this activity, participants should be better able to: Summarize the prevalence, pathophysiology, and consequences of decompensated cirrhosis and portal hypertension (eg, refractory ascites and EVH), Evaluate the latest evidence for current and emerging approaches to managing patients with refractory ascites and EVH.
Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards Podcast)
Today's Episode Dr. Daniel Chao reviews the case of a 43 year old male who presents to clinic one week after hospitalization with new onset ascites. Today's Host Dr. Daniel Chao is a gastroenterologist at the VA in Loma Linda, California. He completed his fellowship at the University of Irvine, after completing his medical school and residency at the University of Massachusetts. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices
A grab bag of stuff gleaned from the DHM crew @ SHM in Nashville. All sources in this episode can be found in the April 2022 CKC dispatch e-mail dated 4/19/2022. | 00:00 Intro | | 00:39 TOC | | 01:27 HFrEF management | | 02:42 AC monotherapy in stable CAD+Afib | | 03:28 Upper GI bleed management | | 04:15 ID updates (GNR Bacteremia and MRSA) | | 05:22 Ascites, SBP, HRS in Cirrhosis | | 06:23 Post-op complications in elective surgery done peri-COVID | | 07:00 Peri-op LMWH bridging | | 08:03 Midodrine and vasovagal syncope | | 09:05 Closing | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness.]
Aditi Kothari is back to host a thorough review of ascites – how to evaluate, diagnose, and manage ascites from various causes. If you don't remember how to calculate SAAG, this episode is for you. After tuning in to this episode, you'll definitely have a belly full of knowledge. Get it?
Topics covered: Case Study – Ascites – Herbs, Diet, Treatment Discussion on all liver disorders in general Ayurveda practitioners given rights for prescribing some allopathic medicines Turning the medical syllabus into an integrated system combined with Ayurveda and Allopathy? Turning Vegan -> how to cope up with energy deficiency? Eye drops to clear icterus?
Did you know, that the development of ascites in cirrhosis heralds a poor prognosis, with increased morbidity and mortality in these patients? Following up on our series of lectures on cirrhosis, Dr Kevin Teh, Associate Consultant Gastroenterologist, speaks about ascites in chronic liver disease - how we should evaluate for ascites, and how we manage patients with symptomatic ascites secondary to chronic liver disease. We also discuss the indications behind large volume paracentesis, prophylaxis for spontaneous bacterial peritonitis, and some TIPS to lose that water weight.
Ascites is the pathologic accumulation of fluid in the abdominal cavity. In this episode, we review the pathophysiology, clinical presentation, diagnosis and management of ascites, with a focus on ascites secondary to liver cirrhosis. Be sure to check out www.theinternatwork.com for our accompanying infographic.