Accumulation of fluid in the peritoneal cavity; may occur in conditions that cause generalized edema
Refractory ascites; ascitic fluid that recurs after paracentesis or cannot be prev...
Address risk factors (e.g., EtOH use, tuberculosis (TB) exposure, prior malignancies, sexual partners, transfusion history, metabolic syndrome, increased risk of nonalcoholic steatohe...
Restrict dietary sodium to ≤2 g/day if the cause is due to portal hypertension (high SAAG).
Water restriction (1.0 to 1.5 L/day...
Prognosis varies depending on underlying cause.
Ascites in itself is rarely life-threatening but can signify life-threatening underlying disease (e.g., cancer, end-stage liver dis...
Cirrhosis of the Liver; Hepatorenal Syndrome
Algorithms: Congestive Heart Failure: Differential Diagnosis; Nephrotic Syndrome
R18.8 Other ascites
R18.0 Malignant ascites
K70.31 Alcoholic cirrhosis of liver with ascites
K70.11 Alcoholic hepatitis with ascites
789.59 Other ascites
789.51 Malignant ascites
Cirrhosis is the most common cause of ascites.
Patients with new-onset ascites or hospitalized patients with ascites should undergo diagnostic paracentesis.
Avoid ACE inhibitors, ARBs, a...
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