Snapshot A 60-year-old man presents to the emergency room for confusion and abdominal pain and distention. He has a history of alcoholism and alcoholic cirrhosis requiring multiple paracenteses. He has been on the liver transplant list for the past year. His vital signs are 98.4°F (36.9°C), blood pressure is 120/80 mmHg, pulse is 96/min, and respirations are 18/min. On physical exam, his abdominal girth is large, and there is shifting dullness, flank fullness, and a fluid wave. Introduction Overview login to view 2 more bullets Associated conditions login to view 1 more bullet Epidemiology Risk factors login to view 13 more bullets ETIOLOGY Pathogenesis login to view 6 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 15 more bullets Imaging Abdominal ultrasound login to view 8 more bullets Studies Serum labs login to view 7 more bullets Invasive studies login to view 20 more bullets Differential Pregnancy login to view 3 more bullets Treatment Lifestyle login to view 4 more bullets Medical login to view 13 more bullets Surgical login to view 8 more bullets Complications Hepatorenal syndrome login to view 1 more bullet Spontaneous bacterial peritonitis login to view 1 more bullet