A 42-year-old man presented with progressive generalized body swelling for the past 3 weeks. He complained of facial puf ness, bilateral lower limb edema, abdominal distension, and frothy urine. There was no history of alcohol use, jaundice, hematemesis, or heart disease. On examination: Periorbital edema Bilateral pitting, edema, Ascites present Investigations: 24-hour urinary protein: 6 g/day, Hyperlipidemia, Hypoalbuminemia The patient was diagnosed with Nephrotic Syndrome. Ascitic uid analysis was performed. Which of the following ascitic uid pro les is most consistent with this diagnosis?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: C. SAAG = 0.9 g/dL, Ascitic protein = 2.2 g/dL
Nephrotic ascites comes from hypoalbuminaemia, not portal hypertension. So the SAAG is <1.1 and the ascitic fluid is protein-poor (<2.5 g/dL). Option C (SAAG 0.9, protein 2.2) fits.
- A SAAG >1.1 (options A, B, D) means portal hypertension: cirrhosis if protein is low, cardiac ascites or Budd–Chiari if protein is high.
- A low SAAG with high protein would suggest TB or peritoneal carcinomatosis.
- المصدر
- 9• Ascites [Notes].pdf · p. 4
Cirrhosis.pdf · p. 8 - المحاضرة
- Cirrhosis & Complications · Gastroenterology & Liver · Module C
- ظهر في
- MED43 ♀ Quiz C · MED43 ♀ Compre