Ascites differential diagnosis: Difference between revisions

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Revision as of 14:06, 12 January 2018

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

Overview

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.
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).

Type	Diseases	History and Symptoms				Physical Examination				Laboratory Findings				Other Findings
Type	Diseases	Finding 1	Finding 2	Finding 3	Finding 4	Physical Finding 1	Physical Finding 2	Physical Finding 3	Physical Finding 4	Lab Test 1	Lab Test 2	Lab Test 3	Lab Test 4	Other Findings
Transudate (SAAG≥ 1.1g/dL)	Cirrhosis			+
	Alcoholic hepatitis	↑			-
	Budd-Chiari syndrome		↓
	Constrictive pericarditis
	Heart failure
	Myxedema
	Portal hypertension
Exudate (SAAG< 1.1g/dL)	Cancer
	Nephrotic syndrome
	Pancreatitis
	Serositis
	Tuberculosis

References

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@@ Line 6: / Line 6: @@
 ==Overview==
-==Differential diagnosis==
+==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]].
+* 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).
 {|
 |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
+! rowspan="2" |Type
 ! rowspan="2" |Diseases
 ! colspan="4" |History and Symptoms
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 !Lab Test 4
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 1
+| rowspan="7" |[[Transudate]]
+([[SAAG]]≥ 1.1g/dL)
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cirrhosis]]
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 | style="background: #F5F5F5; padding: 5px;" |
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 2
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcoholic hepatitis]]
 | style="background: #F5F5F5; padding: 5px;" |'''↑'''
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 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 3
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Budd-Chiari  syndrome]]
 | style="background: #F5F5F5; padding: 5px;" |
 | style="background: #F5F5F5; padding: 5px;" |↓
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 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 4
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Constrictive pericarditis]]
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 5
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure]]
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+|-
+|[[Myxedema]]
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+|[[Portal hypertension]]
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+|-
+| rowspan="5" |[[Exudate]]
+([[SAAG]]< 1.1g/dL)
+|[[Cancer]]
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+|[[Nephrotic syndrome]]
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+|[[Pancreatitis]]
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+|[[Serositis]]
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+|[[Tuberculosis]]
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 |}
-Ascites is broadly classified as two types based on the [[Serum-ascites albumin gradient]] (SAAG):
-* Transudate - SAAG > 1.1 g/dL (indicates the ascites is due to [[portal hypertension]]).
-* Exudate - SAAG < 1.1 g/dL (indicates the ascites is due to non-portal hypertension etiology).
 ==References==
 {{Reflist|2}}

Ascites differential diagnosis: Difference between revisions

Revision as of 14:06, 12 January 2018

Overview

Differentiating Other Diseases Caused Ascites

References

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