A 45-year-old alcoholic man has abdominal distension, a tender abdomen and fever. Paracentesis shows 400 neutrophils per mm3. What is the diagnosis?
Answer and explanation
Correct answer: A. Spontaneous bacterial peritonitis
- Step 1: An ascitic neutrophil count above 250 per mm3 defines spontaneous bacterial peritonitis. Answer: Spontaneous bacterial peritonitis. Why not the others: Tuberculous peritonitis, Secondary bacterial peritonitis and Malignant ascites don't fit.
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