Portal hypertension and cirrhosis case

What are the two principle mechanisms by which ascites forms?

What are the principal causes of ascites?

What is the most likely cause of this patient’s ascites accumulation?

What is the next most important step in diagnosis?

How does the ascites fluid analysis affect your differential?

What is the proposed mechanism for ascites formation cirrhotic patients?

What is your management of this patient?

Why is spironolactone the preferred diuretic in patients with ascites?

What is the most likely diagnosis? What else must you consider on the differential?

How does the NG lavage data guide your management?