Ascites in a person with abdominal cancer as seen on ultrasound Liver cirrhosis with ascites Routine complete blood count (CBC), basic metabolic profile, liver enzymes, and coagulation should be performed. Most experts recommend a diagnostic paracentesis be performed if the ascites is new or if the person with ascites is being admitted to the hospital. The fluid is then reviewed for its gross appearance, protein level, albumin, and cell counts (red and white). Additional tests will be performed if indicated such as microbiological culture, Gram stain and cytopathology. The serum-ascites albumin gradient (SAAG) is probably a better discriminant than older measures (transudate versus exudate) for the causes of ascites. A high gradient (> 1.1 g/dL) indicates the ascites is due to portal hypertension. A low gradient (< 1.1 g/dL) indicates ascites of non-portal hypertensive as a cause. Ultrasound investigation is often performed prior to attempts to remove fluid from the abdomen. This may reveal the size and shape of the abdominal organs, and Doppler studies may show the direction of flow in the portal vein, as well as detecting Budd-Chiari syndrome (thrombosis of the<unk>  vein) and portal vein thrombosis. Additionally, the sonographer can make an estimation of the amount of ascitic fluid, and difficult-to-drain ascites may be drained under ultrasound guidance. An abdominal CT scan is a more accurate alternate to reveal abdominal organ structure and morphology. Classification Ascites exists in three grades: * Grade 1: mild, only visible on ultrasound and CT * Grade 2: detectable with flank bulging and shifting dullness * Grade 3: directly visible, confirmed with the fluid wave/thrill test
symptom of Hepatic veno-occlusive disease
symptom of Autoimmune hepatitis
symptom of Liver cancer
symptom of Primary biliary cholangitis
symptom of Portal hypertension
symptom of Ascariasis
symptom of Hepatitis B
symptoms of Primary biliary cholangitis