Paracentesis: Difference between revisions

Revision as of 19:15, 9 June 2011

Send Amyase (>100 suggestive of intra-abd process)
- Placing Cx in BCx tube increases yield

1) >500 WBC or >250 PMNs

or

2) Positive gm stain (single microbe)

Any:

1) >100WBC OR >50% NEUT

1) >50%NEUT

12/06 DONALDSON

Authors:

@@ Line 1: / Line 1: @@
-SBP
+==Procedure==
+*Send Amyase (>100 suggestive of intra-abd process)
+**Placing Cx in BCx tube increases yield
+==Diagnosis==
+===SBP===
 ) >500 WBC or >250 PMNs
@@ Line 7: / Line 11: @@
 ) Positive gm stain (single microbe)
+===CONSIDER PERITONITIS (eg. perf appy, chole)===
-CONSIDER PERITONITIS (eg. perf appy, chole)
 Any:
+# >10,000 WBC
+# Polymicrobial gm stain
+# Total protein >1g/dL
+# Glu <50
+# Increased LDH
-) >10,000 WBC
+==IF PERITONEAL DIALYSIS (SBP)==
-) Polymicrobial gm stain
-) Total protein >1g/dL
-) Glu <50
-) Increased LDH
-IF PERITONEAL DIALYSIS (SBP)
 ) >100WBC OR >50% NEUT
+===IF NIGHTLY (APD)===
-IF NIGHTLY (APD)
 ) >50%NEUT
-*Send Amyase (>100 suggestive of intra-abd process)
+==Source==
-**Placing Cx in BCx tube increases yield
 /06 DONALDSON
+[[Category:GI]]
 [[Category:Procedures]]