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    Chylous Ascites

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    drnareshkumar3281
    This document outlines a case of chylous ascites and provides details on symptoms, possible causes, diagnostic tests, and treatment plan. It notes that chylous ascites involves abdominal distension and pain due to a buildup of milky fluid high in triglycerides. Diagnostic testing would include bloodwork, imaging, and analysis of ascitic fluid to determine the cause, which could be related to conditions like cirrhosis, malignancy, or congenital defects. Treatment involves a low-fat diet, medication, drainage of fluid, and potentially surgery depending on the underlying cause.

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    Chylous Ascites

    Uploaded by

    drnareshkumar3281
    282 views3 pages
    This document outlines a case of chylous ascites and provides details on symptoms, possible causes, diagnostic tests, and treatment plan. It notes that chylous ascites involves abdominal distension and pain due to a buildup of milky fluid high in triglycerides. Diagnostic testing would include bloodwork, imaging, and analysis of ascitic fluid to determine the cause, which could be related to conditions like cirrhosis, malignancy, or congenital defects. Treatment involves a low-fat diet, medication, drainage of fluid, and potentially surgery depending on the underlying cause.

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    This document outlines a case of chylous ascites and provides details on symptoms, possible causes, diagnostic tests, and treatment plan. It notes that chylous ascites involves abdominal distension and pain due to a buildup of milky fluid high in triglycerides. Diagnostic testing would include bloodwork, imaging, and analysis of ascitic fluid to determine the cause, which could be related to conditions like cirrhosis, malignancy, or congenital defects. Treatment involves a low-fat diet, medication, drainage of fluid, and potentially surgery depending on the underlying cause.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    282 views3 pages

    Chylous Ascites

    Uploaded by

    drnareshkumar3281
    This document outlines a case of chylous ascites and provides details on symptoms, possible causes, diagnostic tests, and treatment plan. It notes that chylous ascites involves abdominal distension and pain due to a buildup of milky fluid high in triglycerides. Diagnostic testing would include bloodwork, imaging, and analysis of ascitic fluid to determine the cause, which could be related to conditions like cirrhosis, malignancy, or congenital defects. Treatment involves a low-fat diet, medication, drainage of fluid, and potentially surgery depending on the underlying cause.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
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    of 3

    CHYLOUS ASCITES

    1. CHIEF COMPLAINT
    a. Chylous ascites

    2. HPI

    3. ROS

    4. SYMPTOMS
    a. Abdominal distension
    b. Abdominal pain
    c. Anorexia
    d. Weight loss
    e. Edema
    f. Weakness
    g. Nausea
    h. Dyspnea
    i. Weight gain
    j. Lymphadenopathy
    k. Early satiety
    l. Fever
    m. Night sweats

    5. HISTORY
    a. FAMILY HISTORY
    b. SOCIAL HISTORY
    c. PAST MEDICAL HISTORY
    •Hepatoma
    •small bowel lymphoma
    •small bowel angiosarcoma
    •retroperitoneal lymphoma
    •Spontaneous bacterial peritonitis
    •Pelvic irradiation
    •Peritoneal dialysis

    d. SURGICAL HISTORY
    •Abdominal surgery
    •Blunt abdominal trauma

    e. CHRONIC CONDITIONS
    •Cirrhosis
    •Abdominal tuberculosis
    •Carcinoid syndrome
    •Congenital defects of lacteal formation

    6. ALLERGIES

    7. PHYSICAL EXAMINATION

    8. SPECIFIC DATA LIKE GRADING ETC

    •True chylous ascites - Fluid with high triglyceride content


    •Chyliform ascites - Fluid with a lecithin-globulin complex due to
    fatty degeneration of cells
    •Pseudochylous ascites - Fluid that is milky in appearance due to
    the presence of pus

    9. TESTS TO BE ORDERED
    •CBP
    •ESR
    •Liver function tests
    •Serum albumin
    •Serum electrolytes
    •Ascitic fluid study
    •USG abdomen
    •CT scan
    •Lymph node biopsy
    •Laparotomy
    •Lymphangiography
    •Barium studies of the gastrointestinal tract
    •Bone marrow examination
    •Intravenous pyelography
    •MRI

    10. ASSESSMENT /PLAN

    •A low-fat diet with medium-chain triglyceride supplementation


    •Paracentesis
    •Peritoneovenous shunting

    11. EDUCATION

    12. MEDICATION
    •Orlistat
    •Octreotide

    13. FOLLOW UP

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