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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.

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Finding SensitivitySpecificity Comments, Study
Ankle Swelling Edit 93%66%

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

Bulging Flanks Edit 78%44%

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

Coagulopathy Edit 26%96%

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

Flank Dullness Edit 94%56%

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

Fluid Wave Edit 50%82%

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

Heart Failure Edit 47%73%

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

History of Alcoholism Edit 60%58%

see Alcoholism

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

Jaundice
Duplicate Edit
33%90%

by "history"

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

Palpable Liver Edit 27%93%

aka "ballotable" liver

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

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

Shifting Dullness Edit 83%56%

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

Telangiectasias Edit 27%100%

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

Weight Gain Edit 67%79%

(recent)

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