Ascitic Fluid Interpretation Flashcards
1
Q
A
2
Q
Causes of high SAAG?
A
- Cirrhosis
- Hepatic failure
- Alcoholic hepatitis
3
Q
Causes of low glucose in ascitic fluid?
A
- TB
- Malignancy
4
Q
Causes of clear/straw coloured ascitic fluid?
A
Liver cirrhosis
5
Q
Raised WCC in ascitic fluid microscopy?
A
- >100 TB/Malignancy
- >100,000 Trauma, Haemorrhage
6
Q
What does a high and low SAAG mean?
A
High = transudate fluid
Low = exudate fluid
7
Q
How do you calculate SAAG?
A
Serum albumin - ascitic fluid albumin
8
Q
Describe relevance of WCC in ascitic fluid microscopy?
A
- >250 and neutrophils - SBP
- >250 and lymphocytes - TB
9
Q
Causes of raised protein in ascitic fluid?
A
- TB
- SBP
10
Q
Causes of cloudy ascitic fluid?
A
- Pancreatitis
- Perforated bowel
- Spontaneous bacterial peritonitis (SBP)
11
Q
Causes of low SAAG?
A
- Infection
- Pancreatitis
- Malignancy
- Nephrotic syndrome
12
Q
Causes of milk coloured ascitic fluid?
A
- Malignancy
- Lymphoma
- Tuberculosis
13
Q
When does ascites become clinically detectable?
A
At least 500mls of fluid
14
Q
Causes of raised amylase in ascitic fluid?
A
Pancreatitis
15
Q
Causes of bloody ascitic fluid?
A
- Malignancy
- Haemorrhagic pancreatitis
