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Wgat is the diagnosis of this 1st question

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"spontaneous bacterial peritonitis"

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spontaneous bacterial peritonitis diagnosis ascites fever abdominal pain guideline

Spontaneous bacterial peritonitis (SBP) in a patient with decompensated cirrhosis and tense ascites.
Why:
  • Fever, tachycardia, hypotension, leukocytosis
  • New diffuse abdominal pain and tenderness with ascites
  • Jaundice, thrombocytopenia, prolonged INR, hyponatremia suggest advanced chronic liver disease
  • Creatinine 1.8 mg/dL suggests associated renal dysfunction, possibly evolving hepatorenal syndrome/AKI.
Confirm urgently with diagnostic ascitic tap: ascitic-fluid neutrophil count >=250 cells/mm³ establishes SBP. The AASLD ascites and SBP guidance addresses this complication of cirrhotic ascites.
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