Ascites Flashcards

1
Q

How does ascites occur

A

Due to sodium and water retention as a result of cirrhosis and portal hypertension

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2
Q

Investigations

A

Shifting dullness on examination

US - to detect fluid

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3
Q

Management - rapid relief

A

Paracentesis

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4
Q

Management - general options

A
Paracentesis 
Diuretics - spironolactone 
TIPSS 
Reduce sodium intake
Transplantation
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5
Q

Spontaneous bacterial peritonitis management

A

Urgent paracentesis
Antibiotics
Maintain renal perfusion

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6
Q

Low or high albumin

A

Low albumin

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