ocr: HISTORY Increasing abdominal girth ("clothes don't fit") Indigestion and early satiety Ankle swelling Easy tatigability Shortness of breath PHYSICAL EXAMINATION Fluid wave Shifting dullness RADIOGRAPHIC STUDIES Abdominal flat plate: generalized ground-glass appearance, air-filled small bowel loops occupy central position and are separated by fluid berween loops; psoas shadows obscured Ultrasound, abdominal CT: both are sensitive tests that definitively diagnose small amounts of ascites PARACENTESIS Gross character on inspection: bloody, serous, milky, turbid Cell count and differential Chemist ...
