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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 58-year-old man with liver cirrhosis presents to his primary care physician complaining of increased abdominal girth and early satiety. He drinks 2–4 glasses of wine with dinner and recalls having had abnormal liver enzymes in the past. Vital signs include a temperature of 37.1°C (98.7°F), blood pressure of 110/70 mm Hg, and a pulse of 75/min. Physical examination reveals telangiectasias, mild splenomegaly, palpable firm liver, and shifting dullness. Liver function is shown:
Total bilirubin 3 mg/dL
Aspartate aminotransferase (AST) 150 U/L
Alanine aminotransferase (ALT) 70 U/L
Total albumin 2.5 g/dL
Abdominal ultrasonography confirms the presence of ascites. Diagnostic paracentesis is performed and its results are shown:
Polymorphonuclear cell count 10 cells/mm
Ascitic protein 1 g/dL
Which of the following best represent the mechanism of ascites in this patients?
assistant
High sinusoidal pressure