Ascites Flashcards
1
Q
What is it?
A
Fluid outside of the gut in the peritoneal cavity
2
Q
How do you test for it?
A
It is shown by demonstrating signs of fluid thrill or shifting dullness
3
Q
What causes ascites? (6)
A
Malignancy, Infections (especially TB), Hypoalbuminaemia (seen in cirrhosis), Pericarditis, Pancreatitis, Myxoedema (thyroid)
4
Q
What causes ascites with portal hypertension? (4)
A
Cirrhosis, Budd chiari syndrome, portal malignant nodes, IVC or portal vein thrombosis
5
Q
What investigations would you do? (6)
A
FBC, LFT, U&E, CRP, Aspirate ascitic fluid for cytology, culture and protein level, ultrasound
6
Q
What treatment is there? (4)
A
Treat the underlying cause, ascitic drain, spironolactone, furosemide
