Ascites differential diagnosis: Difference between revisions
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|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! rowspan=" | ! rowspan="3" |Type | ||
! rowspan=" | ! rowspan="3" |Diseases | ||
! colspan=" | ! colspan="8" |History and Symptoms | ||
! colspan=" | ! colspan="6" rowspan="2" |Physical Examination | ||
! colspan=" | ! colspan="7" |Laboratory Findings | ||
! rowspan=" | ! rowspan="3" |Other Findings | ||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! | ! colspan="4" |GI symptoms | ||
! | ! colspan="4" |Extra-GI symptoms | ||
! | ! colspan="4" |Liver function test | ||
! | ! colspan="3" |Biochemical test | ||
! | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! | !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 | |||
|- | |- | ||
| rowspan="7" |[[Transudate]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="7" |[[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]] | ||
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| 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;" |'''↑''' | ||
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| style="background: #F5F5F5; padding: 5px;" |↓ | | style="background: #F5F5F5; padding: 5px;" |↓ | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Constrictive pericarditis]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Constrictive pericarditis]] | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart failure]] | ||
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|[[Myxedema]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myxedema]] | ||
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|[[Portal hypertension]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Portal hypertension]] | ||
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| rowspan="5" |[[Exudate]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="5" |[[Exudate]] | ||
([[SAAG]]< 1.1g/dL) | ([[SAAG]]< 1.1g/dL) | ||
|[[Cancer]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cancer]] | ||
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|[[Nephrotic syndrome]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrotic syndrome]] | ||
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|[[Pancreatitis]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pancreatitis]] | ||
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|[[Serositis]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Serositis]] | ||
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|[[Tuberculosis]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tuberculosis]] | ||
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==References== | ==References== |
Revision as of 19:01, 12 January 2018
Ascites Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Ascites differential diagnosis On the Web |
American Roentgen Ray Society Images of Ascites differential diagnosis |
Risk calculators and risk factors for Ascites differential diagnosis |
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 | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | + | |||||||||||||||||||||
Alcoholic hepatitis | ↑ | - | |||||||||||||||||||||
Budd-Chiari syndrome | ↓ | ||||||||||||||||||||||
Constrictive pericarditis | |||||||||||||||||||||||
Heart failure | |||||||||||||||||||||||
Myxedema | |||||||||||||||||||||||
Portal hypertension | |||||||||||||||||||||||
Exudate
(SAAG< 1.1g/dL) |
Cancer | ||||||||||||||||||||||
Nephrotic syndrome | |||||||||||||||||||||||
Pancreatitis | |||||||||||||||||||||||
Serositis | |||||||||||||||||||||||
Tuberculosis |