Spontaneous bacterial peritonitis Quiz: Ace Your Exams
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A 63-year-old man with alcohol-induced cirrhosis presents to the emergency department with abdominal pain and swelling. The patient reports increasing abdominal girth over the past two weeks and worsening abdominal pain for the past three days. He has not had any recent trauma, fevers, or changes in bowel habits. He mentions that he has been forgetting things for the past 2 days. He has no known allergies and takes no medication. Temperature is 37.0℃ (98.6℉), pulse is 90/min, respiratory rate is 14/min, blood pressure is 122/84 mmHg, and oxygen saturation is 99% on room air. On examination, the abdomen is distended with a fluid wave and mild diffuse tenderness, without rebound or guarding. There is no jaundice or peripheral edema. A paracentesis is performed. Which of the following tests for the ascitic fluid would be most helpful for determining the diagnosis?
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