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 |
|
||
Budd chiari syndrome | - | + | - | - | - | - | + | - | - | + | |||||
Acute liver failure | + | + | - | + | +/- | + | - | ||||||||
Alcoholic hepatitis | - | - | - | - | - | - | + | - | - | - | |||||
GI causes | Whipple disease | + | - | + | - | - | - | - | - | - | - | <1.1 | |||
Peritonitis | + | - | + | - | - | - | - | - | - | - | ≥1.1 or <1.1 |
|
|||
Pancreatitis | + (Severe pancreatitis) | - | - | - | - | - | - | + (In rare cases) | - | - | <1.1 |
|
Amylase level >100 units/L in the ascitic fluid | ||
Cardiac causes | CHF | - | - | - | + | + | + | + (In Rt heart failure) | - | + | - | ≥1.1 | |||
Pericarditis | + | - | - | - | + | + | + | - | - | - | ≥1.1 | ||||
Renal cause | Nephrotic syndrome | - | - | - | + | - | - | - | - | + | - | <1.1 | |||
Other causes | Sarcoidosis | + | - | - | - | + | - | + | + | - | - | ||||
SLE | + | - | - | - | - | - | - | + | - | - | |||||
TB | + | - | - | - | + | - | - | + (In Cutaneous TB) | - | - | ≥1.1 or <1.1 | ||||
Hypothyroidism | - | + (Myxedematous edema) | - | - | - | + (Myxedematous edema) | - | Low TSH level | |||||||
Cancer | - | +/- | +/- | - | +/- | ≥1.1 | Tumor markers for determination of the cancer type |