Ascites Flashcards
1
Q
Ascites
A
Fluid in peritoneal cavity
2
Q
Presentations
A
- distension
- discomfort
- ++ weight
- SOB
3
Q
Conditions that cause high Serum Ascites Albumin Gradient (SAAG)
A
- portal hptn
- cirrhosis
- HF
- portal vein thrombosis (Budd Chairi Syndrome)
4
Q
Conditions that cause low SAAG
A
- TB infection
- peritoneal malignancy
- pancreatitis
- nephrotic syndrome
5
Q
Mx
A
- reduce dietary Na
- aldosterone antagonist
- loop diuretics
- paracentesis
- human albumin solution
6
Q
How does ascites lead to a slippery slope contributing to transudative ascites
A
Leak of fluid into p space —> — BP —> ++ renin (kidney) —> + aldosterone —> ++ absorption —> ++ leak
