respiratory embarrassment when large volume ascites is present
spontaneous bacterial peritonitis, especially in cirrhotic individuals; suspect if the ascitic fluid leukocyte count is 500 per microlitre, or if there are more than 250 polymorphonuclear cells per microlitre
Reference
Biggins SW et al. Diagnosis, evaluation, and management of ascites, spontaneous bacterial peritonitis and hepatorenal syndrome: 2021 practice guidance by the American Association for the Study of Liver Diseases. Hepatology. 2021 Aug;74(2):1014-48.
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