Ascites Flashcards
Causes of ↑ hydrostatic P
① post-sinusoidal → rt side Hf
→ tricuspid stenosis
→ IVC obstruction
→ budd- chiari
-Veno- occlusive
② sinsoïdal → liver cirrhosis
③ pressinusoïdal → hypoalbumidemia
Causes of hypo aluminaemia [ ↓ colloid osmotic P]
1 LCF
2 nephrotic syndrome
3 malnutrition
4 pin losing entropathy
What ↑ permeability of petitoreal capillaries?
① infection ② tumor ③ inflammation
Meigs’ syndrome
Ovarian disease+ pleural effusion + ascites
Symptoms of ascites
- Distension
*Discomfort - dyspepsia
- dyspnea
- development of hernia
What you inspect in chronic case of ascites?
» widening of subcostal angle
» divarication,
» umbilicus is shifted downward, everted
“ » cuput medusa
Fluid thrill in
Tense ascites
How to detect mild ascites?
Finding dullness around umbilicus in knee-elbow pos.
Complication of ascites
• Refractory
• hepato- renal syndrome
• SBP
O pleural effusion
• elevation of diaphragm
• hydrocele
Differmiate free from encrusted ascites by
Us/ct
Accumulation of exudate in
TB , SBP
Malignancy
Pancreatic. Ascites
Saag in exudative assites
< 1.1 g/dl
Milky white ascites fluid in
Chylous ascites
Cloudy ascites fluid in
Infection
Diet in cirrhotic Ascites in TTT
O salt ↓
O fluid ↓
O ↑ *ptn
