RESUMO
Ascites is defined as an excess of fluid within the peritoneal cavity. Causes of ascites may be classified into two pathophysiologic categories: associated with the normal peritoneum and occur due to a diseased peritoneum. Ascites is clinically apparent when the patient presents either symptomatically with abdominal distension, thus leading to further testing, or asymptomatically when radiological imaging shows unexpected peritoneal fluid accumulation. The serum ascites-albumin gradient (SAAG) and total protein levels from ascitic fluid are useful to distinguish the etiology of ascites.We report a case of a 30-years-old man with shortness of breath, the stomach has been getting bigger, nausea, and cough which was subsequently diagnosed with cirrhosis-related ascites accompanied with right heart failure and pulmonary tuberculosis.
RESUMO
Wheezing is often found in patients with asthma bronchialebut wheezing may also be found in paroxysmal nocturnal dyspnea and pulmonary edema (cardiac asthma). Cardiac asthma has been used to explain wheezing and airflow obstruction due to heart failure (HF). The respiratory symptoms such as wheezing, shortness of breath and cough. These symptoms normally occur at night and are common in elderly.Both asthma bronchiale and cardiac asthma are important to diagnose because treatments for asthma bronchiale and HF are different. Here we presented a case report of a 59-years old female diagnosed with cardiac asthma due to heart failure.Cardiac asthma defined as congestive heart failure (CHF) associated with wheezing represents one third of CHF in elderly patients. It is often confused with asthma and exercise-induced bronchospasm. These diseases have different therapies. Cardiac asthma using diuretics and asthma using bronchodilator therapy. CHF can lead to pulmonary congestion and pulmonary edema (PE), and this is classically thought to be the primary cause of cardiac asthma. Current management of cardiac asthma focuses on controlling the underlying HF and PE.