Vera De Matos, MD; Pierre Russo, MD; Holly Hedrick, MD; David A. Piccoli, MD; Petar Mamula, MDSeries Editors: David A. Piccoli, MD; Petar Mamula, MD

Disclosures

August 03, 2005

Additional Clinical Challenge Questions and Further Work-up

What are the most common causes of ascites?

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A paracentesis was performed and 650 mL of yellow fluid was removed. Analysis of the peritoneal fluid revealed the following: no bacteria on Gram stain; negative bacterial culture; WBC count, 620 cells/mm3; with 84% lymphocytes, 7% histiocytes, and 8% eosinophils; total protein, 3.7 g/dL; albumin, 1.9 g/dL; cholesterol, 63 mmol/L; triglycerides, 25 mmol/L; amylase < 30 mmol/L; and lactate, 0.9 mmol/L. The serum glucose was 95 mg/dL; total serum protein, 7.3 g/dL; serum albumin, 4.2 g/dL; and serum cholesterol, 153 mg/dL.

How do you interpret the results of the paracentesis?

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