Ascites Flashcards
1
Q
What are causes of ascites?
A
Cirrhosis (75%) Alcohol Infection NAFL Cholesterol Dm GI or ovarian Malignancy Pancreatitis Heart failure Nephrotic Syndrome
2
Q
What causes exudative ascites?
A
PE Sepsis TB Viral/ Bacterial/ Fungal Infections Sarcoidosis Cancer Pancreatitis
3
Q
What causes transudative ascites?
A
CCF Cirrhosis Nephrotic syndrome SVCO Dialysis Myxoedema
4
Q
When is ascites painful?
A
Malignancy
5
Q
What investigations are done in ascites?
A
Analysis of fluid- Mcand S, Proteins (alb gradient), amylase, triglycerides,
6
Q
How many mls ascites is needed to be visible in
a) Xray
b) USS
c) CY
A
a- 500
b- 20
c- trace
7
Q
How is ascites managed?
A
Diuretics and salt and water restriction for portal hypertension and alb replacement
Paracentesis (drainage) and prophylactic cipro
Shunts- portosystemic in liver cirrhosis or peritovenous
8
Q
What are the 2 kinds of shunt in ascites?
A
Portosystemic
Peritovenous
