List the information that can be obtained from ascitic fluid analysis. What are your indications for an ascitic fluid tap?
Ascitic fluid analysis provides – Fluid for General appearance
Albumin / protein content
Red cell count White cell count Culture and sensitivity Cytology
Biochemistry - amylase
Indications for performing a tap include: any patient with ascites and PUO, critical illness or suspected malignancy.
I would expand the college list:
Information which can be derived from an ascitic fluid analysis:
Indications for ascitic fluid drainage:
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Boyer, Thomas D., Arthur M. Kahn, and Telfer B. Reynolds. "Diagnostic value of ascitic fluid lactic dehydrogenase, protein, and WBC levels." Archives of internal medicine 138.7 (1978): 1103-1105.
Runyon, Bruce A., John C. Hoefs, and Timothy R. Morgan. "Ascitic fluid analysis in malignancy‐related ascites." Hepatology 8.5 (1988): 1104-1109.