CORE IM podcast: Mind The Gap on Admission Paracentesis

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steve Liu and Dr. Janine Knudsen!

Click the link for the full show notes: https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/

Time Stamps

1. What do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51)
2. Can we just use clinical judgement to decide if paracentesis is warranted? (3:13)

• Do attendings have better clinical judgement than residents to rule out SBP?

1. Does timing of paracentesis on admission matter for mortality? (6:33)

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