Approach to ascites Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man presents to the emergency department to be evaluated for 1 month of shortness of breath and abdominal distention. Past medical history is significant for hypertension, morbid obesity, and obstructive sleep apnea. The patient takes losartan for his hypertension but does not always take it consistently, and he does not use his continuous positive airway pressure (CPAP) device. Temperature is 36.7°C (98.1°F), pulse is 90/min, blood pressure is 144/95 mmHg, respiratory rate is 18/min, and SpO2 is 97% on room air. On physical examination, the lungs are clear upon auscultation. The abdomen is nontender to palpation. There is a fluid wave and dullness to percussion. There is bilateral lower extremity edema. Serum white blood cell count and creatinine are normal. Paracentesis is performed, which shows a serum-ascites albumin gradient (SAAG) of 1.5. Which of the following findings would likely confirm the cause of this patient’s ascites?  

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