Ascites differential diagnosis
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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 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||
| 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 | ||||||||||||||