Gross Ascites

A female aged 46 years with no specific history Chief Complaints Gradual onset Abd Distension Pain Abdomen Anasarca (x 2 months) Physical Examination P/A - Distended, Shifting dullness (+) Investigations CT Abdomen

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Ascitis with ALD/ cirrhosis Adv- cbc, lft, TSPAG If hypoalbuminemia give iv hum-albumin 20% Start hepato protecive medicine Diuretics Nutritional support Supportive management Ascitis fluids tapping if required

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Its a typical case of Alcoholic liver disease Do evaluate clinically Correlate with proper history Nutritional supplements Might be helpful👍

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Ascitis cirrhosis

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Ascitic cirrhosis Gastroenterologist openion

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