Ascites and Renal and Electrolyte Abnormalities in Cirrhosis

摘要: The diagnosis of ascites is simple when large amounts fluid accumulate in the peritoneal cavity. On physical examination abdomen distended, flanks bulge, and a wave may be demonstrable. Other characteristic signs ascites, such as flank shifting dullness, are also obvious. however, much more difficult by there small volume ascitic fluid. It has been suggested that exploration for puddle sign, maneuver designed to identify an “puddle” around umbilicus combining percussion auscultation with patient on his hands knees, can detect minimal (less than 500ml) [1]. However, recent study which five (bulging flanks, wave, sign) were compared ultrasonographic demonstration (ultrasonography little 100-200 ml intraperitoneal fluid) patients whom bedside was question, sign did not show greater specificity sensitivity other [2]. Ultrasonography, computed tomography, magnetic resonance imaging very useful methods assessment ascites. In addition their detecting they suggest etiology based characteristics intra-abdominal organs vessels appearance Ultrasonography best these since it expensive, reliable free radiation hazards.