Sandbox:Ascites DD
Preferred Table
| Diseases | History and Symptoms | Physical Examination | Laboratory Findings | Other Findings | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever | Icterus | Abdominal pain | Peripheral edema | Chest pain | Jugular vein distension | Hepatomegaly | Skin rash | Edema | Spider angiomata | Serum to ascites albumin gradient (SAAG) | Ascitic fluid:
|
Fluid culture | CBC | |||
| Liver causes | Cirrhosis | - | + | - | - | - | + | - | + | ≥1.1 | ||||||
| Budd chiari syndrome | - | + | - | - | - | |||||||||||
| Acute liver failure | + | + | ||||||||||||||
| Alcoholic hepatitis | - | - | - | - | - | |||||||||||
| GI causes | Whipple disease | + | - | - | - | <1.1 | ||||||||||
| Peritonitis | + | - | + | - | - | ≥1.1 or <1.1 | ||||||||||
| Pancreatitis | + (Severe pancreatitis) | - | - | - | - | <1.1 | ||||||||||
| Cardiac causes | CHF | - | - | - | + | + | ≥1.1 | |||||||||
| Pericarditis | + | - | - | - | + | ≥1.1 | ||||||||||
| Renal cause | Nephrotic syndrome | - | - | - | + | - | <1.1 | |||||||||
| Other causes | Sarcoidosis | + | - | - | - | + | ||||||||||
| SLE | + | - | - | - | - | |||||||||||
| TB | + | - | - | - | + | ≥1.1 or <1.1 | ||||||||||
| Hypothyroidism | - | |||||||||||||||
| Cancer | - | ≥1.1 | ||||||||||||||