Ascites resident survival guide: Difference between revisions
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! style="padding: 0 5px; font-size: 85%; background: #A8A8A8" align=center| {{fontcolor|#2B3B44|{{PAGENAME}} Microchapters}} | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#Overview|Overview]] | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#Classification/Causes|Classification/Causes]] | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#FIRE: Focused Initial Rapid Evaluation|FIRE]] | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#Complete Diagnostic Approach|Diagnosis]] | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#Treatment|Treatment]] | |||
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[{{PAGENAME}}#Do's|Do's]] | |||
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==Overview== | |||
Accumulation of fluid within the peritoneal cavity results in ascites. Most important for a successful treatment of ascites is an accurate diagnosis of its cause. Most common causes are portal hypertension, malignancy and heart failure. The diagnosis is made with a combination of physical examination and abdominal imaging. The next step is typically a paracentesis to evaluate the ascitic fluid for causes.<ref name="pmid23463403">{{cite journal| author=Runyon BA, AASLD| title=Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012. | journal=Hepatology | year= 2013 | volume= 57 | issue= 4 | pages= 1651-3 | pmid=23463403 | doi=10.1002/hep.26359 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23463403 }} </ref> | |||
==Classification/Causes== | |||
Ascites can be classified based on the underlying causes. | |||
{{familytree/start |summary=Sample 1}} | |||
{{familytree | | | | | | | | A01 |A01=<b>Causes</b>}} | |||
{{familytree | |,|-|-|v|-|-|-|^|v|-|-|-|.| | | }} | |||
{{familytree | B01 | B02 | | | B03 | | B02 | | |B01=<b>Portal hypertension:</b> | |||
|B02=<b>Hypoalbuminemia:</b>|B03=<b>Peritoneal disease:</b>|B04=<b>Other etiologies:</b>}} | |||
==FIRE: Focused Initial Rapid Evaluation== | |||
A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention. | |||
{{familytree/start |summary=Sample 1}} | |||
{{familytree | | | | | | | | A01 |A01=A01}} | |||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | |||
{{familytree | | | B01 | | | | | | | | B02 | | |B01=B01|B02=B02}} | |||
{{familytree | | | |!| | | | | | | | | |!| }} | |||
{{familytree | | | C01 | | | | | | | | |!| |C01=C01}} | |||
{{familytree | |,|-|^|.| | | | | | | | |!| }} | |||
{{familytree | D01 | | D02 | | | | | | D03 |D01=D01|D02=D02|D03=D03}} | |||
{{familytree | |!| | | | | | | | | |,|-|^|.| }} | |||
{{familytree | E01 | | | | | | | E02 | | | E03 |E01=E01|E02=E02|E03=E03}} | |||
{{familytree | | | | | | | | | | |!| | | | |!| }} | |||
{{familytree | | | | | | | | | | F01 | | | F02 |F01=F01|F02=F02}} | |||
{{familytree/end}} | |||
==Complete Diagnostic Approach== | |||
{{familytree/start |summary=Sample 1}} | |||
{{familytree | | | | | | | | A01 |A01=A01}} | |||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | |||
{{familytree | | | B01 | | | | | | | | B02 | | |B01=B01|B02=B02}} | |||
{{familytree | | | |!| | | | | | | | | |!| }} | |||
{{familytree | | | C01 | | | | | | | | |!| |C01=C01}} | |||
{{familytree | |,|-|^|.| | | | | | | | |!| }} | |||
{{familytree | D01 | | D02 | | | | | | D03 |D01=D01|D02=D02|D03=D03}} | |||
{{familytree | |!| | | | | | | | | |,|-|^|.| }} | |||
{{familytree | E01 | | | | | | | E02 | | | E03 |E01=E01|E02=E02|E03=E03}} | |||
{{familytree | | | | | | | | | | |!| | | | |!| }} | |||
{{familytree | | | | | | | | | | F01 | | | F02 |F01=F01|F02=F02}} | |||
{{familytree/end}} | |||
==Treatment== | |||
<div class="mw-collapsible mw-collapsed"> | |||
shown | |||
<div class="mw-collapsible-content"> | |||
hidden | |||
</div></div> | |||
==Do's== | |||
==Dont's== | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Resident survival guide]] | |||
[[Category:Cardiology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Primary care]] | |||
Revision as of 14:51, 11 March 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Steven Bellm, M.D. [2]
| Ascites resident survival guide Microchapters |
|---|
| Overview |
| Classification/Causes |
| FIRE |
| Diagnosis |
| Treatment |
| Do's |
| Dont's |
Overview
Accumulation of fluid within the peritoneal cavity results in ascites. Most important for a successful treatment of ascites is an accurate diagnosis of its cause. Most common causes are portal hypertension, malignancy and heart failure. The diagnosis is made with a combination of physical examination and abdominal imaging. The next step is typically a paracentesis to evaluate the ascitic fluid for causes.[1]
Classification/Causes
Ascites can be classified based on the underlying causes.
FIRE: Focused Initial Rapid Evaluation
A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention.
| Causes | |||||||||||||||||||||||||||||||||
| Portal hypertension: | Hypoalbuminemia: | Peritoneal disease: | Hypoalbuminemia: | ||||||||||||||||||||||||||||||
| A01 | |||||||||||||||||||||||||||||||||
| B01 | B02 | ||||||||||||||||||||||||||||||||
| C01 | |||||||||||||||||||||||||||||||||
| D01 | D02 | D03 | |||||||||||||||||||||||||||||||
| E01 | E02 | E03 | |||||||||||||||||||||||||||||||
| F01 | F02 | ||||||||||||||||||||||||||||||||
Complete Diagnostic Approach
| A01 | |||||||||||||||||||||||||||||||||
| B01 | B02 | ||||||||||||||||||||||||||||||||
| C01 | |||||||||||||||||||||||||||||||||
| D01 | D02 | D03 | |||||||||||||||||||||||||||||||
| E01 | E02 | E03 | |||||||||||||||||||||||||||||||
| F01 | F02 | ||||||||||||||||||||||||||||||||
Treatment
shown
hidden
Do's
Dont's
References
- ↑ Runyon BA, AASLD (2013). "Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012". Hepatology. 57 (4): 1651–3. doi:10.1002/hep.26359. PMID 23463403.