Ascites in hindi | ascites treatment | Ascites examination | скачать в хорошем качестве

Ascites in hindi | ascites treatment | Ascites examination |

पेट में पानी भरना | जलोदर के कारण, लक्षण | Ascites in hindi |ascites treatment | Ascites examination | Pet me pani bharna #ascites #ascitesexamination #ascitesinhindi #ascitessymptoms #asciteslecture #Ascitesmedicallecture #ascitesinlivercirrhosis Ascites is the abnormal build- Up of fluid in the peritoneal cavity. Most common cause- Cirrhosis 80% Links 🔗- for NOTES AND any QUERY CONTACT.... Instagram Id learnwithdrshipra https://www.instagram.com/learnwithdr... Whatsapp channel- https://whatsapp.com/channel/0029VagP... Telegram- https://t.me/learnwithdrshipra Type of Ascites- Ascites exists in three grades: Grade 1: Up to 150ml Mild, only visible on ultrasound and CT Grade 2: 1500-2000ml Detectable with flank bulging and shifting dullness Grade 3: more than 2000ml directly visible, confirmed with the fluid wave/thrill test Symptoms- Mild ascites is hard to notice, but severe ascites leads to respiratory embarrassment. Gradual distension Progressive abdominal heaviness and pressure. Shortness of breath. Risk of spontaneous bacterial peritonitis. Signs Puddle sign- in mild Shifting dullness- in moderate difference in percussion note in the flanks that shifts when the person is turned on the side Fluid thrill- in severe tapping or pushing on one side will generate a wave-like effect through the fluid that can be felt in the opposite side of the abdomen. Tanyol sign- Umbilicus shifted upward- pelvic swelling ex-ovarian cyst Umbilicus shifted downward- ascites Smiling horizontal umbilicus Other signs of ascites may be present due to its underlying cause. Portal hypertension perhaps due to cirrhosis or fibrosis of the liver Leg swelling Bruising Gynecomastia Hematemesis Mental changes due to Encephalopathy Investigation Complete blood count CBC Basic metabolic profile Liver enzymes and coagulation Diagnostic paracentesis Additional tests- such as microbiological culture, Gram stain and cytopathology. The serum-ascites albumin gradient SAAG – A high gradient more than 1.1 g/dL indicates the ascites is due to portal HTN. A low gradient lower than1.1 g/dL indicates ascites of non-portal HTN as a cause. Ultrasound Doppler studies Abdominal CT scan more accurate CT scan- 80ml USG- 100ml Puddle sign- 150 ml Shifting dullness- 1-1.5 lt. Horse shoe dullness- 2-3 lt. Fluid thrill method- more then 3 lt