Q:

A 55 year old man is having slow growing ascites. When we tap the peritoneal fluid the protein is <25 and it is clear and yellow. What could be the origin for ascites?

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A 55 year old man is having slow growing ascites. When we tap the peritoneal fluid the protein is <25 and it is clear and yellow. What could be the origin for ascites?


  1. Budd-Chiari
  2. Gastrinoma
  3. Hepatoma
  4. TB
  5. Pancreatitis

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The key is A. Budd-Chiari syndrome. [In gastrinoma there is no ascites! In hepatoma there will be exudative ascites as in TB and pancreatitis. Budd-Chiary syndrome causes transudative ascites and the likely option here].

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