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Ascities ( Abdominal distension )

Ascities is defined as acculmulation of fluid in the peritoneal cavity ( abdomen ).

Causes of Ascities

  • Cirrhosis = 85%
  • Miscellaneous portal hypertension related disorder=8%
  • Cardiac Disease = 3%
  • Peritoneal carcinomatosis = 2%

Clinical features :

  • Increaase in abdominal girth (abdominal distension)
  • Pedal edema (lower limb swelling)

Diagnosis

  • Evaluation of liver disease = LFT, INR, CBC
  • Abdominal ultrasound
  • Ascitic fluid analysis

Treatment

  • Dietary modification
  • Albumin
  • Paracentesis ( removing ascitic fluid)
  • Treating underlying cause