/manager/Index ${session.getAttribute("locale")} 5 Short- and long-term outcomes for patients with variceal haemorrhage in a tertiary hospital /manager/Repository/uon:19923 Sat 24 Mar 2018 08:03:46 AEDT ]]> Detecting ascites /manager/Repository/uon:25134 75%) but malignancy (10%), heart failure (3%) and infection (2%) are other possibilities. Patients with ascites usually present to clinicians with increasing abdominal distension, weight gain and discomfort. However, ascites may be detected incidentally in patients developing other complications of their cirrhosis, such as variceal haemorrhage and encephalopathy. Moreover, a patient may present when their underlying heart failure or malignancy progresses. Initial assessment of the patient will involve taking a history to determine the risk of liver disease. This will include questions about alcohol consumption and risk factors for chronic hepatitis, especially hepatitis C. Cardiac symptoms (shortness of breath and orthopnoea) can be assessed and patients should also be asked about symptoms that might indicate an underlying malignancy, such as weight loss and decreased appetite. Patients who do not complain of ankle swelling or abdominal distension are unlikely to have significant ascites.]]> Sat 24 Mar 2018 07:17:12 AEDT ]]>