Ascites (expanded list)

Ascites (expanded list) is a topic covered in the Diagnosaurus.

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Etiology

Normal peritoneum

  • Portal hypertension (serum-ascites albumin gradient [SAAG] ? 1.1 g/dL)
    • Liver disease
      1. Cirrhosis (most common)
      2. "Mixed ascites" (portal hypertension with secondary process, eg, malignancy, infection)
      3. Alcoholic hepatitis
      4. Fulminant hepatic failure
      5. Massive hepatic metastases
      6. Hepatic fibrosis
      7. Acute fatty liver of pregnancy
    • Hepatic congestion (usually SAAG ? 1.1 g/dL and ascites total protein >2.5 g/dL)
      1. Congestive heart failure, constrictive pericarditis, tricuspid insufficiency
      2. Budd-Chiari syndrome, veno-occlusive disease
    • Portal vein occlusion
  • Hypoalbuminemia (SAAG < 1.1 g/dL)
    • Nephrotic syndrome
    • Protein-losing enteropathy
    • Severe malnutrition with anasarca
  • Miscellaneous conditions (SAAG < 1.1 g/L)
    • Chylous ascites
    • Pancreatic ascites
    • Bile ascites
    • Nephrogenic ascites
    • Urine ascites
    • Myxedema (SAAG ? 1.1 g/dL)
    • Ovarian disease

Diseased peritoneum (SAAG < 1.1 g/dL except in "mixed ascites" with portal hypertension and secondary process, eg, infection, malignancy)

  • Infections
    • Bacterial peritonitis
    • Tuberculous peritonitis
    • Fungal peritonitis
    • HIV-associated peritonitis
  • Malignant conditions
    • Peritoneal carcinomatosis
    • Primary mesothelioma
    • Pseudomyxoma peritonei
    • Massive hepatic metastases
    • Hepatocellular carcinoma
  • Other conditions
    • Familial Mediterranean fever
    • Vasculitis
    • Granulomatous peritonitis
    • Eosinophilic peritonitis

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Last updated: December 1, 2014

Citation

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TY - ELEC T1 - Ascites (expanded list) ID - 114460 Y1 - 2014/12/01/ PB - Diagnosaurus UR - https://im.unboundmedicine.com/medicine/view/Diagnosaurus/114460/all/Ascites__expanded_list_ ER -