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In people with mild ascites, therapy is usually as an outpatient. The goal is weight loss of no more than 1.0 kg/day for people with both ascites and peripheral edema and no more than 0.5 kg/day for people with ascites alone. [19] In those with severe ascites causing a tense abdomen, hospitalization is generally necessary for paracentesis. [20 ...
Anasarca is a severe and generalized form of edema, with subcutaneous tissue swelling throughout the body. [1] Unlike typical edema, which almost everyone will experience at some time and can be relatively benign, anasarca is a pathological process reflecting a severe disease state and can involve the cavities of the body in addition to the tissues.
Kwashiorkor (/ ˌ k w ɒ ʃ i ˈ ɔːr k ɔːr,-k ər / KWOSH-ee-OR-kor, -kər, is also KWASH-) [1] is a form of severe protein malnutrition characterized by edema and an enlarged liver with fatty infiltrates. [2]
A milky appearance of the fluid can indicate lymphoma or malignant peritoneal ascites. Cloudy or turbid fluid can indicate possible infection or inflammation within the peritoneal cavity. Straw or light yellow colored fluid indicates more plasma-like and benign causes of peritoneal ascites. [3] Ascitic fluid, 7 litres, drained during paracentesis
Hepatic hydrothorax is a rare form of pleural effusion that occurs in people with liver cirrhosis. It is defined as an effusion of over 500 mL in people with liver cirrhosis that is not caused by heart, lung, or pleural disease. It is found in 5–10% of people with liver cirrhosis and 2–3% of people with pleural effusions.
A beta-blocker is indicated for prophylaxis against esophageal variceal bleeding and as needed diuretics can be used in cases of fluid overload in people with ascites. [2] Anti-coagulation is required for all patient's with Budd–Chiari syndrome, even if a cause of hypercoagulability is not found. [2]
People should be risk stratified using a MELD Score or Child-Pugh score. These scores are used to evaluate the severity of the liver disease based on several lab values. The greater the score, the more severe the disease. Abstinence: Stopping further alcohol consumption is the number one factor for recovery in patients with alcoholic hepatitis ...
The serum-ascites albumin gradient (SAAG) is the most useful index for evaluating peritoneal fluid and can help distinguish ascites caused by portal hypertension (cirrhosis, portal vein thrombosis, Budd-Chiari syndrome, etc.) from other causes of ascites. SAAG is calculated by subtracting the albumin measure of ascitic fluid from the serum value.