Ascites: Difference between revisions
| Line 7: | Line 7: | ||
==Diagnosis== | ==Diagnosis== | ||
===Workup=== | |||
*CBC | |||
*Chem 7 | |||
*PT/PTT | |||
*LFTs + lipase | |||
*[[FAST]] | *[[FAST]] | ||
*[[Paracentesis]] | |||
==Management== | ==Management== | ||
Revision as of 19:12, 8 June 2015
Background
Clinical Features
- Fluid wave
Differential Diagnosis
Diagnosis
Workup
- CBC
- Chem 7
- PT/PTT
- LFTs + lipase
- FAST
- Paracentesis
Management
- Salt restriction
- Effective in about 15% of patients
- Diuretics
- Spironolactone
- Starting dose = 100mg/day PO (max 400mg/day)
- 40% of patients will respond
- Furosemide
- 40 mg/day PO (max 160 mg/day)
- Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
- Spironolactone
- Water restriction
- Paracentesis
- Consider liver transplantation and shunting