Ascites Flashcards

1
Q

Clinical features of ascites

A
Dullness in flanks 
Shifting dullness
Spider naevi
Palmar erythema 
Abdominal veins
Fetor hepaticus 
Umbilical nodule
JVP elevation 
Flank haematoma
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2
Q

Diagnosis for patients with new-onset ascites

A

Diagnostic Paracentesis

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3
Q

Studies needed on initial evaluation

A

Protein and albumin conc
Cell count
Serum-Ascites Albumin Gradient (SAAG)

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4
Q

How does SAAG relate to portal HTN

A

> 1.1 related to PHTN

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5
Q

What could cause of ascites be if SAAG is <1.1

A

Malignancy

TB

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6
Q

Treatment of ascites

A
Diuretics 
Paracentesis for Large volume
Transjugular Intrahepatic Porotsystemic Shunt (TIPS)
Aquaretics 
Liver transplantation
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