Clinical features of ascites
Dullness in flanks Shifting dullness Spider naevi Palmar erythema Abdominal veins Fetor hepaticus Umbilical nodule JVP elevation Flank haematoma
Diagnosis for patients with new-onset ascites
Diagnostic Paracentesis
Studies needed on initial evaluation
Protein and albumin conc
Cell count
Serum-Ascites Albumin Gradient (SAAG)
How does SAAG relate to portal HTN
> 1.1 related to PHTN
What could cause of ascites be if SAAG is <1.1
Malignancy
TB
Treatment of ascites
Diuretics Paracentesis for Large volume Transjugular Intrahepatic Porotsystemic Shunt (TIPS) Aquaretics Liver transplantation