Pathologic accumulation of serous fluid in the peritoneal cavity
Portal hypertension (>12 mm Hg) starts fluid retention.
Avid sodium retention state
Retained sodium and water increas...
Abdominal distention, discomfort
Weight gain; sometimes weight loss
Shifting dullness, flank fullness, fluid wave, puddle ...
Airway, breathing, circulation (ABCs), IV 0.9 NS
Fulminant liver failure
Tense ascites not responding to ED treatment
New cases need full workup and GI consultation for management.
SBP symptoms are frequently vague.
Must have a high suspicion and low threshold for paracentesis when considering SBP
Feldman M. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: WB Saunders; 2010.
Runyon BA; AASLD Practice Guidelines Committee. Management o...
789.51 Malignant ascites
789.59 Other ascites
R18.0 Malignant ascites
R18.8 Other ascites
389026000 Ascites (disorder)
307311001 Infected ascites (disorder)
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