Ascites

Ascites: fluid-filled abdomen w flank dullness, cirrhosis symptoms (spider angioma, varices), hx of cirrhosis (EtOH, hepatitis), dx w ultrasound


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  • Ascites
  • fluid-filled abdomen w flank dullness, cirrhosis symptoms (spider angioma, varices), hx of cirrhosis (EtOH, hepatitis), dx w ultrasound
  • cirrhosis (EtOH, hepatitis)
  • flank dullness (shifts with position/gravity), cirrhosis symptoms (spider angioma, palmar erythema, ascites, varices, jaundice)
  • ultrasound, paracentesis (pus = infection, blood = trauma, malignancy), SAAG (>1.1 means portal HT)
  • diuretic (spirinolactone, furosemide), low Na diet, stop drugs (NSAIDs, acetaminophen) and EtOH, peritonitis prophylaxis
  • SAAG = serum/ascites albumin gradient