Concluded Case

Gross ascites

just probable dds in an otherwise normal female 55y with compensated cld, for the finding in the image.

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Concluded answer
Massive ascites - The picture shows ascites being tapped - probably therapeutic tapping Probable differential diagnosis A) Cirrhosis of liver Causes are A) Hepatitis B B) Hepatitis C C) Alcohol D) Wilson's disease E) Hemochromatosis F) Non alcoholic fatty liver disease G) Drugs - example Leflunomide I) Autoimmune Hepatitis 2) Portal vein thrombosis 3) Hepatic vein thrombosis 4) Budd chiary syndrome 5) Right heart failure with back pressure changes
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Massive Ascitis.. Ascites is most often caused by liver scarring, otherwise known as cirrhosis. Scarring increases pressure inside the liver's blood vessels. The increased pressure can force fluid into the abdominal cavity, resulting in ascites. Accumulation of fluid in the abdominal cavity is called ascites. Ascites is common in people with cirrhosis and it usually develops when the liver is starting to fail. In general, the development of ascites indicates advanced liver disease and patients should be referred for consideration of liver transplantation.
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Massive ascites - The picture shows ascites being tapped - probably therapeutic tapping Probable differential diagnosis A) Cirrhosis of liver Causes are A) Hepatitis B B) Hepatitis C C) Alcohol D) Wilson's disease E) Hemochromatosis F) Non alcoholic fatty liver disease G) Drugs - example Leflunomide I) Autoimmune Hepatitis 2) Portal vein thrombosis 3) Hepatic vein thrombosis 4) Budd chiary syndrome 5) Right heart failure with back pressure changes
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Massive Ascitis D/D Liver disorder Renal disorder Cardiac disease Hypoproteinemia Abdominal tuberculosis
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Ascitis with CLD,do USG w/a,send ascitic fluid cyto bio g/s.give tab aldactone,tab torsunex,tab RFX ,do FFP
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Needed USG whole abd, CT, MRI abd to look for sequel of chronic liver damage, LFT, biopsy.
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Massive Ascites Diagnostic as well as therapeutic aspiration Most common cirrhosis of liver
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Ascites... Investigations to find out cause for ascites... Do ascetic tap
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Massive ascitis Liver Disorder Alc. Fatty liver
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Ascites
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