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Ascites (Ix (Bloods (FBC, U+E, LFTs: esp. albumin, INR, Glucose, Liver…

- - - - Exclude nephrotic syn.
      - ? UTI
  - - - Liver disease
      - Cardiac failure, MI
- - - - Signs of CLD
      - CCF: ↑ JVP, bibasal creps, peripheral oedema
      - Nephrotic: periorbital oedema
      - Budd Chiari: abdo pain, hepatomegaly, jaundice
- - - - Respiratory compromise
      - Pain / discomfort
      - Renal impairment
    - - Severe hypovolaemia: replenish albumin
      - SBP
        
        Rx: Tazocin or cefotaxime until sensitivities known
        
        Prophylaxis: high recurrence ~ cipro long-term
- - - - Cirrhosis
      - CCF
      - Carcinomatosis
    - - SAAG ≥1.1g/dL = Portal HTN (97% accuracy)
        
        Cirrhosis in 80%
      - SAAG <1.1g/dL
        
        Neoplasia: e.g. peritoneal mets or ovarian Ca
        
        Inflammation: pancreatitis
        
        Nephrotic syndrome
        
        Infection: TB peritonitis