Case number 15
A 58-year-old-rural man came to emergency ward with the chief complaint of new onset abdominal distention from a week ago.
On physical examination of abdomen shifting dullness was positive and NO tenderness or guarding or organomegaly and there were no signs of peripheral edema.

Lab tests:
WBC 18100
Hb 12.7
Plt 382000
INR 1.1
Cr 0.5
AST 16
ALT 12
ALP 116
Alb 2.1
LDH 384
Total protein 3.0

On abdominal sonography there was severe abdominal ascites. Here is the ascites analysis 👇🏻