62 years old , Male with #Ascites for #hepatic #Cirrhosis. H/o alcohol abuse. Lets discuss this interesting case.



Alcoholic cirrhosis with massive ascites. Will need large volume paracentesis with albumin infusion along with diuretics. Upper gi endoscopy to see for esophageal varices. Child pugh score assessment to see for need of liver transplant.

What can be seen from figure is likely .ascities .dilated veins .scratch marks Nothing more can be said regarding figure

Cirrhosis liver with huge ascites,needs drainage of ascitic fluid with protein supplement and total abstinence from alcohol,may work but his prognosis is poor.diuretic in the form of aldactone,antibiotic & antiinflammatories in the form of chymoral forte & Nusam 400mg bd with liver tonic and appetiser may improve his condition, if he avoid absolute alcohol intake,otherwise he may need liver transplant

Gross ascitis with umbilical hernia, needs tapping and diagnostic aspiration, diuretic, aldactone with albumin and alamin transfusion, iv fluids restrictions, ruleout hbsag, usg for further treatment

Cirrhosis with ascites with umbilical hernia,asses with child Pugh criteria,treat portal hypertension by Tipss then decide the necessasity of liver transplantation or not

आयुर्वेद के अनुसार इस रोग निदान हेतु विचार किया। रोगी यकृतशोथ से एवं जलोदर से पीड़ित हैं। रोगी कृच्छ साध्यहै मुझे तो असाध्य प्रतित हो रहा है पिछले 40 वर्ष से प्रयोग कर रहा हूं। आप चाहें तो चिकित्सा शुरू करें मूत्राल क्वाथ बनाकर पीने को दिया जाए।जलोदररारि रस सुबह शाम सेवन कराएं।यकृतदारि लौह 4 रत्ती भर शहद मिलाकर सुबह-शाम सेवन कराएं।ताप्तयदि लौह 4 रत्ती भर शहद के साथ सुबह शाम सेवन कराएं

Alchohic Cirrhosis of Liver with Portal Hypertension (Ascitis, Look for hypersplenism and Gastroscopy for Portal hypertensive gastropathy). If pt in encephalopathy, Diuretics and Ascitis tap is contraindicated...So assess the pt before the procedure.

Agree with dr pradeep venky.... only added ogd scopy done once patient is stable fr varices .. esophago gastric varices

Drain 3/4 L with albumin. Salt restriction bedrest spironolactone50 BD. Aim wt loss half kg per day.

Cirrhosis with large vol ascites..do paracentesis..cxr..hbsAg..lft ..look for varices n proceed

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