54 results
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
common causes: cirrhosis ... one cause (e.g. cirrhosis ... edema (LR 0.17), shifting ... ) - fluid wave/shifting ... underlying disease: Cirrhosis
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Ascites Ascites ... Hydrothorax AKI in Cirrhosis ... TinaPhamHang #Cirrhosis
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Ascites: Physical ... Sensitivity and ... Specificity: Shifting ... #PhysicalExam #Ascites
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with ... fever/abd pain- ... POCUS for win. ... Pneumoperitoneum #Complex #Ascites
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Septal Defect (ASD ... ) with Shunting ... with dyspnea - ASD ... a4c #clinical #pocus ... #bubble #Shunting
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... liver disease (cirrhosis ... failure - 3-5% Cirrhosis ... and another etiology ... Chylous <1% #Ascites
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Cirrhosis Timeline ... and Mortality Rate ... Compensated Cirrhosis ... Decompensated Cirrhosis ... Stage 3 - Ascites
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... (high SAAG) + ascites ... Runyon's Criteria: Ascitic ... Clinical Features (abd ... #differential #ascites
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
in 3 months • Cirrhosis ... + ascites • No ... disease - Cirrhosis ... + ascites • HRS-CKD ... + ascites Dr.
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... Clues to non-cirrhotic ... portal HTN: • Ascites ... Intrahepatic: • Cirrhosis ... Primary biliary cirrhosis