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:
|
CBC | |||
| Liver causes | Cirrhosis | - | + | - | - | - | + | - | + | ≥1.1 |
|
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| 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 |
|
Amylase level >100 units/L in the ascitic fluid | |||||||
| 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 | |||||||||||||