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Paracentesis
Paracentesis
Intervention ICD-9-CM 54.91 [1] MeSH D019152 [2]
Paracentesis is a form of body fluid sampling procedure, generally referring to peritoneocentesis (also called laparocentesis - "cent" means "pierce") in which the peritoneal cavity is punctured by a needle to sample peritoneal fluid.[3][4]
Indications
It is used for a number of reasons: to relieve abdominal pressure from ascites to diagnose spontaneous bacterial peritonitis and other infections (e.g. abdominal TB) to diagnose metastatic cancer to diagnose blood in peritoneal space in trauma to puncture the tympanic membrane for diagnostic purposes, such as taking a bacterial swab from the middle ear (tympanocentesis). to reduce intra-ocular pressure in central retinal artery occlusion (oculocaentesi) and any hyphaema in the anterior chamber of the eye where blood does not get absorbed in a weeks time.
Paracentesis
Contraindications
Mild hematologic abnormalities do not increase the risk of bleeding.[] The risk of bleeding may be increased if:[] prothrombin time > 21 seconds international normalized ratio > 1.6 platelet count < 50,000 per cubic millimeter. Absolute contraindication is acute abdomen that requires surgery. Relative contraindications are: Pregnancy Distended urinary bladder Abdominal wall cellulitis Distended bowel Intra-abdominal adhesions.[8]
References
[1] [2] [3] [4] http:/ / icd9cm. chrisendres. com/ index. php?srchtype=procs& srchtext=54. 91& Submit=Search& action=search http:/ / www. nlm. nih. gov/ cgi/ mesh/ 2011/ MB_cgi?field=uid& term=D019152 Paracentesis (http:/ / emedicine. medscape. com/ article/ 80944-overview) at Medscape. Author: Gil Z Shlamovitz. Updated: May 9, 2012 Farlex dictionary > paracentesis (http:/ / medical-dictionary. thefreedictionary. com/ paracentesis), citing: Gale Encyclopedia of Medicine. Copyright 2008 The American Heritage Medical Dictionary Copyright 2007 McGraw-Hill Concise Dictionary of Modern Medicine. Copyright 2002 http:/ / emedicine. medscape. com/ article/ 80944-overview#a15 http:/ / patients. dartmouth-hitchcock. org/ gi/ paracentesis. html http:/ / apps. med. buffalo. edu/ procedures/ paracentesis. asp?p=15 Paracentesis, Author: Gil Z Shlamovitz, MD; Chief Editor: Rick Kulkarni, MD, http:/ / emedicine. medscape. com/ article/ 80944-overview#showall
External links
Paracentesis - a step-by-step procedure guide (http://note3.blogspot.com/2004/02/ paracentesis-procedure-guide.html). Clinical Notes. WebMD: Patient guide (http://www.webmd.com/brain/paracentesis-17042)
License
Creative Commons Attribution-Share Alike 3.0 Unported //creativecommons.org/licenses/by-sa/3.0/