2020 BSG Guidelines on the management of ascites in cirrhosis

65 years old patient with diagnosed patient of CLCD admitted with tense ascites.

1. Explain the pathogenesis of ascites in cirrhosis
2. Define the following terms
3. Uncomplicated ascites
4. Refractory ascites
5. Diuretic-resistant ascites
6. Diuretic-intractable ascites
7. You have decided to do an diagnostic as well as therapeutic paracentesis in this patient
8. a) What are the routine Ix & calculations you would do in this patient, name 3
9. b) Specialized Ix you would do when Suspecting following conditions

Cardiac failure

Maligancy

TB

1. List 5 problems seen in decompensated cirrhosis?
2. List 5 complications of cirrhosis other than the above mentioned.
3. How do you diagnose SBP
4. State 3 conditions where prophylactic therapy for SBP is indicated & give one evidence for it
5. He had undergone large volume paracentesis of 8L, his s. creatinine found to be 1.3 mg/dl after the procedure. (His initial creatinine level on admission was 0.9mg/dl )

Define the complication that the patient has developed.