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Ascites: Sensitivity and Specificity

Introduction: 80% of ascites is due to Cirrhosis.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Hepatic Tag this Diagnosis.

The sensitivity and specificity of findings for Ascites are listed below. See the left navigation bar to change the display.

Specific Findings

Finding SensitivitySpecificity Comments, Study
Telangiectasias Edit 27%100%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Jaundice
Duplicate Edit
27%100%

by physical exam

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Coagulopathy Edit 26%96%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Palpable Liver Edit 27%93%

aka "ballotable" liver

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Viral Hepatitis Edit 27%92%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Jaundice
Duplicate Edit
33%90%

by "history"

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Everted Navel Edit 33%88%

or flat

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Hepatic Carcinoma Edit 13%85%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Sensitive Findings

Finding SensitivitySpecificity Comments, Study
Flank Dullness Edit 94%56%

Study: JAMA. 1982 Feb 26;247(8):1164-6. PMID: 7057606

Ankle Swelling Edit 93%66%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Increased Girth Edit 87%77%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Peripheral Edema Edit 87%77%

it is unclear to me how this differs from Ankle Swelling (granted, that's history vs physical exam here)

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Negative Findings

Finding SensitivitySpecificity Comments, Study
Hepatic Carcinoma Edit 13%85%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Poorly Diagnostic Findings

Finding SensitivitySpecificity Comments, Study
Fluid Wave Edit 50%82%

Study: JAMA. 1982 Feb 26;247(8):1164-6. PMID: 7057606

Weight Gain Edit 67%79%

(recent)

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Heart Failure Edit 47%73%

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

History of Alcoholism Edit 60%58%

see Alcoholism

Study: J Gen Intern Med. 1988 Sep-Oct;3(5):423-8. PMID: 3049966

Shifting Dullness Edit 83%56%

Study: JAMA. 1982 Feb 26;247(8):1164-6. PMID: 7057606

Puddle Sign Edit 51%51%

with patient on hands and knees, percuss umbilical region for dullness

Study: JAMA. 1982 Feb 26;247(8):1164-6. PMID: 7057606

Bulging Flanks Edit 78%44%

Study: JAMA. 1982 Feb 26;247(8):1164-6. PMID: 7057606