Ascites

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Ascites

Causes

Transudate

• Cirrhosis
• Chronic Liver Disease
• Right Sided Heart Failure
• Nephrotic Syndrome

Exudate

• Malignancy
  • GI
  • Liver
  • Ovary
• Infection

Examination

• Inspection
  • swelling
  • vein distension
  • everted umbilicus
• Palpation
  • tense
  • organs hard to feel
  • fluctuation
  • fluid thrill
• Percussion
  • stony dull in flanks
  • shifting dullness

Complications

• risk of Spontaneous Bacterial Peritonitis

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