Ascites Flashcards
1
Q
How does ascites occur
A
Due to sodium and water retention as a result of cirrhosis and portal hypertension
2
Q
Investigations
A
Shifting dullness on examination
US - to detect fluid
3
Q
Management - rapid relief
A
Paracentesis
4
Q
Management - general options
A
Paracentesis Diuretics - spironolactone TIPSS Reduce sodium intake Transplantation
5
Q
Spontaneous bacterial peritonitis management
A
Urgent paracentesis
Antibiotics
Maintain renal perfusion
6
Q
Low or high albumin
A
Low albumin