Ascites

Himali Meshram
More..
print
INVESTIGATIONS
● Blood investigations: Complete blood count, liver function tests, renal functional tests, plasma proteins

● Ascitic fluid examination-
White cell count: Ascitic fluid normally contains <500 leukocytes/ml and < 250 polymorphonuclear leukocytes/ml. A neutrophil count of > 250 cells/ml is highly suggestive of bacterial peritonitis. In tuberculous peritonitis and peritoneal carcinomatosis, there is predominance of lymphocytes.
Red blood count: RBC Count > 50,000/µl denotes hemorrhagic ascites, usually seen in malignancies, trauma or tuberculosis.
Total protein: Ascitic fluid is considered as an exudate if the protein level is more than or equal to 2.5 g/dl.
Triglycerides: A high level is suggestive of chylous ascites
Serum Ascites Albumin Gradient (SAAG): It is calculated as serum albumin - ascitic fluid albumin. SAAG > 1.1 g/dl is suggestive of portal hypertension and SAAG < 1.1 g/dl as non-portal hypertensive causes of ascites

● Imaging Studies
Chest and Plain Abdominal Films: Elevation of the diaphragm is seen in massive ascites. To be diagnosed on basis of radiographic films, > 500 ml of fluid is usually required.
Ultrasound: Abdominal ultrasound can be used to detect ascites even in morbidly obese patients. It is also useful in indicating appropriate site for paracentesis. It can detect as little as 100 ml of fluid in the peritoneal cavity.
CT and MRI: Small amounts of ascitic fluid such as in the perihepatic space, Morisons pouch, can be detected easily. Malignancies arising from abdominal organs can also be detected.

References
Ascites Ascites 10/02/2019
<< CLINICAL FEATURES MANAGEMENT >>
ask a doctor
Ask a Doctor
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0