Ascites Flashcards
1
Q
Define acites
A
- Detectable and chronic collection of Fluid in the peritoneal cavity
- Chronic accumulation of Fluid within the peritoneal cavity
2
Q
what are the classifications of ascites and refractory ascitis
A
1-detectable aftar exam/scan
2-easily detectable but small volume
3-obvios not tense
4-obvious and tense
3
Q
Describe the pathophysiology of ascites UNFINISHED
A
portal hypertension
-sodium water imbalance affecting neurohornomal agens (RAAS)
4
Q
Describe ascitis in cirrhosis
A
5
Q
what are the clinical symptoms of ascitis
A
- abdominal distention
-weight gain - naeusea, loss of appetite
- breathlessness -high pressure
- cachexia
*
6
Q
clinical signs of ascitis
A
- abdo distension (up to1.5-2l)
- puddle sign (150ml)
- shifting dulljess (500ml)
- fluid thirill
7
Q
how is ascitis diagnosed UNIFINSIHED
A
Xray - 500ml
ultrasound - 20 ml
naked eye test
Serum Ascites Albumin Gradient [SAAG]
Total proteins
8
Q
How to treat ascities
A
- treat underlying cause
- sptonolatose (diuretic)
- dietary sodium restriction
- paracentesis (draining)
- peritoneovenous shunt
9
Q
a high SAAG of above 1.1 would be
A
Transudate
10
Q
a low SAAG below 1.1 would be
A
Exudate
11
Q
Traansudate ascities is caused by
A
- portal hypextension
- increased hydrostatic pressure
12
Q
Exudate ascites is caused by
A
- increased capillary permeability
- decreased oncotic pressure
13
Q
A
