Donuts

ASCITES: do paracentesis to confirm SAAG (serum-ascites albumin gradient). If > 1.1 then from portal hypertension aka cirrhosis. If < 1.1 then non-portal hypertension cause (cancer, TB, pancreatitis, nephrotic, cardiac ascites). SBP: do diagnostic (60cc) instead of therapeutic (several liters) paracentesis and check cell count and differential. ................
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