
# 398:Live! From SHM: Inpatient Cirrhosis Management
The Curbsiders Internal Medicine Podcast
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What Is a Physiology of Ascites?
Cirrhosis is a liver problem, the kidneys play a vital role into it. Also, the selfish organs need the blood flow. So we have coagulopathy because of the clotting factor synthesis problems. We have encephalopathy related to the suboptimal clearance. And then we have all the fluid and hemodynamic issues related to the RAS system with how the kidneys blood flow is impacted. Yeah. It's always a system and there's too many things leading to another and it's very hard to keep straight. But I think a really good place to start in terms of what we're doing is ascites."
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