OSCE and Learning Points
A) OSCE Pre-Final Examination:- 1.Mechanism of Ascites:- 2.Medical management of Ascite:- * Role of Beta-blockerd in Ascites:- 3.Shunt treatment for Ascites:- Peritoneovenous shunt placement is performed as a long- term treatment for chronic refractory ascites. The shunt used most commonly is the Denver shunt, comprised of two silastic tubes connected by a compressible pump. **Indications :- PVS is effective in the drainage of the peritoneal fluid in patients with chronic refractory ascites. The most common indication for insertion of PVS is medically intractable ascites secondary to chronic liver diseases. Conditions that result in chronic ascites that is unresponsive to medical therapy are best treated with PVS. These include acute and chronic liver diseases like cirrhosis, malignant ascites due to malignant tumors of the breast, ovary, or colon, chylous ascites, congestive heart failure, chronic kidney disease