Saturday, May 25, 2013

Managment of Ascites

Ascites is our topic today so we will start by Ascites definition

Try Audible and Get Two Free Audiobooks

Ascites and paracentesis

Definition of Ascites:

Ascites is the collection of excess free fluid in the peritoneal cavity.

Causes of Ascites:

Hepatic :
  • Liver Cirrhosis.
  • Hepatic tumors (hepatocellular carcinoma)
Malignant Disease:
  • Hepatocellular carcinoma
  • Abdominal or pelvis tumors that may be primary or secondary tumors
  • Primary mesothelioma

  • Congestive Cardiac failure or right heart faliure
  • Constrictive pericarditits.
  • Tricuspid incompetence (regurge)
Venous obstruction:
  • Budd-Chiari syndrome.
  • Veno-occlusive disease.
  • Hepatic portal vein obstruction.
  • Inferior vena cave obstruction.
 Management of Ascites:
Watch this video (paracentesis):

General Investigations:
1. Urine Dipstick:  strongly positive for protein in nephrotic syndrome.
2. Complete Blood Count: Raised white cell count may indicate an infection
3. Urea and Electrolytes: Elevated urea and creatinine may indicate a renal etiology
4. LFT’s :in hepatic faliure.
5. Chest X-ray: Findings suggestive of cardiac failure are cardiomegaly.
6. Ultrasound Abdomen: detect any intra abdominal masses that are not palpable on clinical examination. OR fatty deposits in the liver in the presence of cirrhosis.
7. Abdominal Paracentesis: Aspiration of the ascitic fluid is very useful to help determine the underlying cause. A sample should be sent to microbiology  clinical chemistry and pathology.
8.Ascitic fluid Examinations.
A. Echocardiography
B. Liver biopsy
C. Renal Biopsy
D. Portal venography

Enter your email address:



Join Our Channel in Youtube
Medical Learninig Videos


Anonymous said...

Most important topics in this forum:
More Learning medical videos
Chest Tube Insertion
Orotracheal intubation From ATLS
ACLS Guidelines updated
ATLS cricothyroidotomy
Orotracheal intubation From ATLS
Pediatric IV insertion
Venous cutdown procedure

Anonymous said...

With havin so much content do you ever run into any problems of plagorism or copyright infringement?
My blog has a lot of exclusive content I've either written myself or outsourced but it looks like a lot of it is popping it up all over the internet without my permission. Do you know any ways to help stop content from being stolen? I'd
really appreciate it.

My website - Going Here

Anonymous said...

It is trulу a great and helpful piесе of informatіon.
I am glаd that you just shаred thiѕ helpful іnfo with us.
Please ѕtаy us іnfοгmеd like thіs.

Τhank you for shaгіng.

Mу websіte ... hcg hormone
Also see my web page > hcg bellevue

Anonymous said...

Greetings! Very helpful advice within this post! It is the little changes which will make the greatest changes.
Many thanks for sharing!

Also visit my website -

Anonymous said...

Wow that was unusual. I just wrote аn еxtremelу long comment but after I clісκed submit
my commеnt didn't appear. Grrrr... well I'm not writing all that oνer again.
Anуhow, just wаntеd to say fantаstic blοg!

my website: merchant cash advance

Anonymous said...

Awesome іssues here. I am very ѕatisfiеd
to loоk youг ρost. Thank you so much and I'm having a look forward to touch you. Will you kindly drop me a e-mail?

Also visit my web blog :: diet plan
Also see my website - how purchase hcg

Anonymous said...

Very good info. Lucky me I came across your website by chance
(stumbleupon). I've saved it for later!

my web blog - meladerm

Anonymous said...

Greetings! Very helpful advice within this article!
It is the little changes that make the greatest changes. Many thanks for sharing!

Also visit my web site :: meladerm

Anonymous said...

I used to be recommended this blog by way of my cousin.
I'm now not positive whether this submit is written by way of him as nobody else realize such specified about my trouble. You are wonderful! Thank you!

My webpage -

Anonymous said...

I'm no longer sure where you're getting your information,
however great topic. I needs to spend some time finding out much more
or working out more. Thank you for magnificent information I was on the lookout for
this info for my mission.

Also visit my page :: meladerm

Anonymous said...

Hi! I could have sworn I've been to your blog before but after looking at many of the posts I realized it's new to me.

Regardless, I'm certainly delighted I came across it and I'll be book-marking it and checking back often!

Here is my homepage: How To Sing Screamo Songs

Anonymous said...

Awesome blog! Do you have any hints for aspiring writers?

I'm planning to start my own site soon but I'm a little lost on
everything. Would you advise starting with a free platform like Wordpress or go for
a paid option? There are so many options out there that I'm totally overwhelmed .. Any ideas? Bless you!
hilarious pictures

Anonymous said...

Hiya! Quick question that's completely off topic. Do you know how to make your site mobile friendly? My website looks weird when viewing from my apple iphone. I'm trying to find a theme or plugin that might be able to fix this problem.

If you have any recommendations, please share. Many thanks!

my website: we buy houses Bordentown nj

Anonymous said...

Don t fall for gеttіng into bogus ѕituatiоns
lіke sеcured loаn сonѕоlіdаtiοn calculatоrs,
crеdit сarԁs or any otheг lenԁегs.

Thіѕ oрtiоn proviԁes іnѕtant cash rеlief that
аllows you to ѕhοp fοr thе verу best
one ρarticular car. You сan try and
taκe the ρerson tο gо with the
loаn far ahead of tіmе beforе applying to obtaіn
a loan consοlіdаtion calculаtоr аt affогdable rates are.

Also vіsіt my wеblog; debt solutіons []

Post a Comment

Design by Free WordPress Themes | Bloggerized by Lasantha - Premium Blogger Themes | cheap international calls