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Ascites, Pediatric

Rima Fawaz, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Ascites is defined as a pathologic accumulation of intraperitoneal fluid.

  • Peritoneal fluid formation is a dynamic process of production and absorption.

  • In children, ascites is usually ...

DIAGNOSIS

HISTORY

  • Duration of symptoms

  • Weight gain

  • Respiratory distress

  • Change in bowel habits or urinary color (evidence of GI bleeding)

  • Use of umbilical catheters in newborn period (increased risk of por...

TREATMENT

GENERAL MEASURES

  • The management of the ascites should be directed toward the underlying etiology.

  • Benefits of treatment of ascites should always be weighed against risks and complications of t...

ADDITIONAL READING

  • European Association for the Study of the Liver. EASL clinical practice guideline on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrho...

CODES

ICD9

  • 789.59 Other ascites

  • 789.51 Malignant ascites

  • 014.00 Tuberculous peritonitis, unspecified

ICD10

  • R18.8 Other ascites

  • R18.0 Malignant ascites

  • A18.31 Tuberculous peritonitis

SNOMED

  • 389026000 Ascites (d...

FAQ

  • Q: What etiologies are likely in cases of congenital ascites?

  • A: Lysosomal storage disorders and/or other metabolic diseases should be excluded. If hepatic function is impaired, causes of neonatal ...

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