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


August 03, 2005

Additional Clinical Challenge Questions and Further Work-up

What are the most common causes of ascites?

  1. Click here for answer

View the correct answer.

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?

  1. Click here for answer

View the correct answer.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.