Ascites differential diagnosis: Difference between revisions

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__NOTOC__
__NOTOC__
{{Ascites}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Ascites]]


{{CMG}}; {{AE}} {{AEL}}
{{CMG}}; {{AE}} {{EG}}


==Overview==
==Overview==
Diseases that cause ascites should differentiate from each others, such as cirrhosis, [[Alcoholic hepatitis]], [[Budd-Chiari  syndrome]], [[Constrictive pericarditis]], [[Heart failure]], [[Myxedema]], [[Cancer]], [[Nephrotic syndrome]], [[Pancreatitis]], [[Serositis]], and [[Tuberculosis]]. The ascites may be [[transudate]] ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] ≥ 1.1 g/dL) or exudate ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] < 1.1 g/dL).


==Differentiating Other Diseases Caused Ascites==
==Differentiating Other Diseases Caused Ascites==
* Diseases that cause ascites should differentiate from each others, such as cirrhosis, [[Alcoholic hepatitis]], [[Budd-Chiari  syndrome]], [[Constrictive pericarditis]], [[Heart failure]], [[Myxedema]], [[Cancer]], [[Nephrotic syndrome]], [[Pancreatitis]], [[Serositis]], and [[Tuberculosis]].  
* Diseases that cause ascites should differentiate from each others, such as cirrhosis, [[Alcoholic hepatitis]], [[Budd-Chiari  syndrome]], [[Constrictive pericarditis]], [[Heart failure]], [[Myxedema]], [[Cancer]], [[Nephrotic syndrome]], [[Pancreatitis]], [[Serositis]], and [[Tuberculosis]].  
* The ascites may be [[transudate]] ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] ≥ 1.1 g/dL) or exudate ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] < 1.1 g/dL).
* The ascites may be [[transudate]] ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] ≥ 1.1 g/dL) or exudate ([[Serum-ascites albumin gradient|serum-ascites albumin gradient [SAAG]]] < 1.1 g/dL).
<small>
<small>
{|
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="2" |Type
! rowspan="3" |Type
! rowspan="2" |Diseases
! rowspan="3" |Diseases
! colspan="4" |History and Symptoms
! colspan="8" |History and Symptoms
! colspan="4" |Physical Examination
! colspan="6" rowspan="2" |Physical Examination
! colspan="4" |Laboratory Findings
! colspan="7" |Laboratory Findings
! rowspan="2" |Other Findings
! rowspan="3" |Other Findings
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!Finding 1
! colspan="4" |GI symptoms
!Finding 2
! colspan="4" |Extra-GI symptoms
!Finding 3
! colspan="4" |Liver function test
!Finding 4
! colspan="3" |Biochemical test
!Physical Finding 1
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!Physical Finding 2
!Jaundice
!Physical Finding 3
!Abdominal pain
!Physical Finding 4
!Hematemesis
!Lab Test 1
!Nausea
!Lab Test 2
!Weight loss
!Lab Test 3
!Dyspnea
!Lab Test 4
!Cough
!Chest pain
!Fever
!Spider angioma
!Abdominal tenderness
!Jugular venous distention
!Pitting edema
!Muffled heart sounds
!ALT
!AST
!Bili
!Amylase /Lipase
!Cr
!ESR
!Na-K
|-
|-
| rowspan="7" |[[Transudate]]
| rowspan="7" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Transudate]]
([[SAAG]]≥ 1.1g/dL)
([[SAAG]]≥ 1.1g/dL)
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cirrhosis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cirrhosis]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Esophageal varices]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Gynecomastia]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Testicular atrophy]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcoholic hepatitis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcoholic hepatitis]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Fatty liver disease]]
| style="background: #F5F5F5; padding: 5px;" | -
* [[Loss of appetite]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Budd-Chiari  syndrome]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Budd-Chiari  syndrome]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |↓
* [[Hepatosplenomegaly]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Hypercoagulability|Hypercoagulopathy]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Constrictive pericarditis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Constrictive pericarditis]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Pulsus paradoxus]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Fatigue]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Declined functional class
* [[Fatigue]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myxedema]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Generalized edema]]
* Low [[body temperature]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Portal hypertension]]
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Esophageal varices]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Hepatosplenomegaly]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|[[Myxedema]]
|
|
|
|
|
|
|
|
|
|
|
|
|
|-
|[[Portal hypertension]]
|
|
|
|
|
|
|
|
|
|
|
|
|
|-
|-
| rowspan="5" |[[Exudate]]  
| rowspan="5" style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Exudate]]  
([[SAAG]]< 1.1g/dL)
([[SAAG]]< 1.1g/dL)
|[[Cancer]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cancer]]
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" | -
|-
|-
|[[Nephrotic syndrome]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrotic syndrome]]
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |
* [[Proteinuria]]
* [[Hypoalbuminemia]]
|-
|-
|[[Pancreatitis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pancreatitis]]
|
| style="background: #F5F5F5; padding: 5px;" | +/-
|
| style="background: #F5F5F5; padding: 5px;" | +++
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* Radiating [[pain]] to back
* [[Gallstone]]
|-
|-
|[[Serositis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Serositis]]
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +/-
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" | -
|-
|-
|[[Tuberculosis]]
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tuberculosis]]
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | ++
|
| style="background: #F5F5F5; padding: 5px;" | +/-
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | +
|
| style="background: #F5F5F5; padding: 5px;" | -
|
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Chronic cough, severe cold|Chronic cough]]
* [[Night sweat]]
|}
|}
</small>
</small>
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Needs content]]
[[Category: Medicine]]
[[Category: Up-To-Date]]
[[Category: Gastroenterology]]
[[Category: Hepatology]]
[[Category: Emergency medicine]]
 


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Latest revision as of 22:09, 8 February 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Diseases that cause ascites should differentiate from each others, such as cirrhosis, Alcoholic hepatitis, Budd-Chiari syndrome, Constrictive pericarditis, Heart failure, Myxedema, Cancer, Nephrotic syndrome, Pancreatitis, Serositis, and Tuberculosis. The ascites may be transudate (serum-ascites albumin gradient [SAAG] ≥ 1.1 g/dL) or exudate (serum-ascites albumin gradient [SAAG] < 1.1 g/dL).

Differentiating Other Diseases Caused Ascites

Type Diseases History and Symptoms Physical Examination Laboratory Findings Other Findings
GI symptoms Extra-GI symptoms Liver function test Biochemical test
Jaundice Abdominal pain Hematemesis Nausea Weight loss Dyspnea Cough Chest pain Fever Spider angioma Abdominal tenderness Jugular venous distention Pitting edema Muffled heart sounds ALT AST Bili Amylase /Lipase Cr ESR Na-K
Transudate

(SAAG≥ 1.1g/dL)

Cirrhosis ++ + + + + - - - - + + - - - ↑↑ ↑↑ ↑↑ Normal Normal Normal Normal
Alcoholic hepatitis - - - + + - - - + - - - - - ↑ ↑↑↑ Normal Normal Normal Normal Normal
Budd-Chiari syndrome - + - + + - - - + - - - - - ↑ ↑ Normal Normal Normal ↑ Normal
Constrictive pericarditis - - - - - + - + + - - ++ - + Normal Normal Normal Normal Normal ↑ Normal
Heart failure - - - - + + + + - - - + + - Normal Normal Normal Normal Normal Normal ↑
Myxedema - - - - - + - - - - - - ++ - Normal Normal Normal Normal Normal Normal ↓
Portal hypertension +/- + + + + - - - - + - - - - ↑ ↑ ↑ Normal ↑ Normal Normal
Exudate

(SAAG< 1.1g/dL)

Cancer + + - + ++ - - - - - - - - - Normal Normal Normal Normal Normal ↑↑ Normal -
Nephrotic syndrome - - - + - - - - - - - - ++ - Normal Normal Normal Normal ↑↑ ↑ ↑↑
Pancreatitis +/- +++ - ++ - - - + + - ++ - - - Normal Normal Normal ↑↑ Normal ↑ Normal
Serositis - + - + + - - +/- + - + - - - Normal Normal Normal Normal Normal ↑ Normal -
Tuberculosis - + - + + ++ ++ ++ +/- - + - - - Normal Normal Normal Normal Normal ↑↑ Normal

References


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