Approach to the Patient with Liver Disease

Bergasa, Nora V.

doi:10.1007/978-1-4471-4715-2_2

Cited by 2 publications

(1 citation statement)

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“…In this patient, there were no signs and symptoms indicating right heart failure, such as: increased jugular venous pressure, hepatomegaly, edema in the extremities. Chronic liver stigmata, which include spider nevi, palmar erythema, caput medusa, splenomegaly, were also not found in this patient (Bergasa, 2022). The possibility of nephrotic syndrome is also small because the patient's urine is not cloudy and there is no edema on the eyelids or extremities, which usually occurs with ascites in nephrotic syndrome (Swiatecka-Urban, Woroniecki, & Kaskel, 2017).…”

Section: Resultsmentioning

confidence: 68%

Tense Ascites in a Young Man Aged 24 Years Due to TB Peritonitis: Case Report

Sanjaya,

Arifianto,

Wijayanto

2024

JII

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Tuberculous peritonitis is parietal or visceral peritoneal inflammation caused by Mycobacterium tuberculosis bacteria. Pathogenesis Tuberculous peritonitis is preceded by M. tuberculosis infection followed by spread to the peritoneum. This is a report from a young male patient with the main complaint of an increasingly enlarged stomach in 2 weeks and weight loss accompanied by other symptoms such as fever, nausea, vomiting, difficulty breathing. Investigation showed anemia, the results of Adenosine deaminase (ADA) ascitic fluid: 36.3 U/L. Radiological examination. Thorax photo showed Sinistra pleural effusion. Abdominal ultrasound found ascites. Then an ascitic puncture of approximately 2600 cc of greenish fluid was carried out. The diagnosis of tuberculous peritonitis is based on the Adenosine deaminase (ADA) test. Next, the patient received Fixed Drug Combination (FDC) therapy consisting of Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol for 2 months, followed by a combination of Rifampicin and Isoniazid for 7-10 months. The prognosis of tuberculous peritonitis is fair if diagnosis is prompt and the patient is treated adequately.

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Section: Resultsmentioning

confidence: 68%