Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic vein thrombosis • Extrinsic compression • Splanchnic arteriovenous fistula Portal Hypertension - Hepatic: • Cirrhosis • Schistosomiasis • Infiltrative disease • Acute liver failure • Primary biliary cholangitis • Primary sclerosing cholangitis • Idiopathic portal hypertension • Sinusoidal obstruction syndrome Portal Hypertension - Post-Hepatic: • Heart failure • Constrictive pericarditis • Budd-Chiari syndrome • Inferior vena cava obstruction Non-portal Hypertension - Protein-poor: • Nephrotic syndrome • Malnutrition • Protein-losing enteropathy Non-portal Hypertension - Protein-rich: • Malignancy • Pancreatitis • Tuberculosis • Hemoperitoneum • Chylous ascites • Myxedema • Perforated viscus Dr. André Mansoor @AndreMansoor - Author of Frameworks for Internal Medicine https://amzn.to/2LmUODZ #Ascites #Differential #Diagnosis #Algorithm #Hepatology #causes
