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Question 1

cirrhosis pathophys

Answer 1

1. presence of sinusoidal HTN (> 12mm)

2. planchnic/systemic vasodil → activation of RAAS → plasma volume expansion!

Question 2

ascites

physical exam features

what dx measures to look at?

Answer 2

increased abd girth

recent weight gain

might see…

• bulging flanks
• flank dullness
• shifting dullness
• fluid wave
• peripheral edema

serum albumin

serum-to-ascites albumin gradient (SAAG) > 1.1 (predicts portal HTN with 97% accuracy)