Ascitic fluid analysis

ParameterKey FindingsCommon Causes
AppearanceClear/Straw-ColouredCirrhosis
Cloudy/TurbidSpontaneous bacterial peritonitis (SBP)
Milky (Chylous)Lymphatic obstruction (e.g., lymphoma, malignancy, Tuberculosis
BloodyTraumatic tap, malignancy, ruptured vessel
SAAG (>1.1 g/dL)Portal hypertensionCirrhosis, Budd-Chiari syndrome
SAAG (<1.1 g/dL)No portal hypertensionPeritoneal carcinomas, TB, pancreatic ascites
Total Protein (>4 g/dL)High proteinTB, SBP
Glucose (<50 mg/dL)Low glucoseTB, malignancy
AmylaseElevated amylasePancreatic ascites
WCC (>250/dL)High WCCSBP (predominantly neutrophils), 
TB (predominantly lymphocytes)
CulturePositiveSBP, secondary peritonitis

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