GI at Wilmington GI | Former GI Fellow @BrighamGI @harvardmed | Internal Medicine Resident @UMichMedicine | Emory School of Medicine Alumnus | @UMich #GoBlue
Apr 16, 2019 • 25 tweets • 7 min read
1: What causes WBC/PMN elevation (neutrophilic-predominant pleocytic) ascites? The differential is broad and extends beyond Spontaneous Bacterial Peritonitis (SBP).
(A #MedTwitter and #Tweetorials contribution). Appreciate edits by @ebtapper.
2: 26yoW w/ cirrhosis 2/2 congestive hepatopathy 2/2 hypoplastic L heart syndrome s/p Fontan presented to OSH with fevers, abdominal pain. Prev tx by PCP for ?PID w/ IM CTX, doxycycline. Dx para shows WBC 2480, PMN 74%, total protein 4.3, SAAG >1.1. What is cause of ascites here?
Mar 5, 2019 • 19 tweets • 5 min read
1: What causes triglyceride elevation in pleural fluid studies?
My previous understanding of this diagnostic test was recently challenged and lends credence to the fascinating diversity of pleural effusions/dz.
(A #MedTwitter and #Tweetorials contribution).
2: A middle aged woman OSH patient was transferred with LEFT pleural effusion that developed 5 days post-CABG.
