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  • Ascites: Exudative Ascites Transudative Ascites

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    This document outlines the causes and characteristics of two types of ascites - transudative and exudative ascites. Transudative ascites is caused by increased pressure in the portal or hepatic veins due to conditions like cirrhosis, while exudative ascites is caused by decreased serum albumin and increased capillary permeability from things like infections or cancer. The types can be differentiated based on serum-ascites albumin gradient (SAAG) levels, with transudative ascites having a SAAG >1.1 and exudative ascites having a SAAG <1.1. Spontaneous bacterial peritonitis is also discussed as a potential complication of cirrhosis and ascites.

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    This document outlines the causes and characteristics of two types of ascites - transudative and exudative ascites. Transudative ascites is caused by increased pressure in the portal or hepatic veins due to conditions like cirrhosis, while exudative ascites is caused by decreased serum albumin and increased capillary permeability from things like infections or cancer. The types can be differentiated based on serum-ascites albumin gradient (SAAG) levels, with transudative ascites having a SAAG >1.1 and exudative ascites having a SAAG <1.1. Spontaneous bacterial peritonitis is also discussed as a potential complication of cirrhosis and ascites.

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    © All Rights Reserved
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    4 views2 pages

    Ascites: Exudative Ascites Transudative Ascites

    Uploaded by

    killadim992
    This document outlines the causes and characteristics of two types of ascites - transudative and exudative ascites. Transudative ascites is caused by increased pressure in the portal or hepatic veins due to conditions like cirrhosis, while exudative ascites is caused by decreased serum albumin and increased capillary permeability from things like infections or cancer. The types can be differentiated based on serum-ascites albumin gradient (SAAG) levels, with transudative ascites having a SAAG >1.1 and exudative ascites having a SAAG <1.1. Spontaneous bacterial peritonitis is also discussed as a potential complication of cirrhosis and ascites.

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    © All Rights Reserved
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    of 2

    Ascites

    Transudative Ascites Exudative Ascites


    RA Post Sinusoidal Obstruction
    RHF ( CVP) Hypoalbuminemia
    Budd-Chiari Syndrome
    Nephrotic Syndrome
    Sinusoidal Obstruction
    Cirrhosis (M/C)
    Capillary
    Pre Sinusoidal Obstruction Leakage
    Portal Vein Thrombosis
    Serum
    Albumin
    Portal Venous Pressure

    Oncotic Pressure +

    Peritoneum
    Peritoneal Carcinomatosis
    Capillary Ovarian Cancer
    Infections
    + + TB
    Inflammation
    Pancreatitis

    SAAG (Serum (Ascitic Distention SAAG (Serum (Ascitic


    = - = -
    >1.1 Albumin) Albumin) <1.1 Albumin) Albumin)
    Shifting Dullness

    + Fluid Wave Test


    Ascites
    Spontaneous Bacterial Peritonitis (SBP)

    Cirrhosis New Onset


    +
    (M/C) Ascites
    Peritonitis

    Portal Vein
    Abdominal Pain
    IMV +
    Rigidity
    P +
    SMV Ascites
    Bacteria + Guarding
    Ascitic Fluid (SAAG > 1.1) +
    PMN’s (> 250/mm3) + Rebound Tenderness
    + +

    Cytokines

    Fever

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