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Acute paracentesis need

There is little capacity for paracenteses on the Same Day Medical Assessment, hence the following pathway. Please discuss all cases for urgent paracentesis with the Acute GP team.

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Paracentesis needed

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Already under an RCH consultant (eg hepatologist)?

Email laura.gilbert12@nhs.net for urgent MDU appointment

or phone IR on extension 3962

Yes

No

Determine clinical urgency of ascites presentation

Low

Consider gastroenterology referral/2ww/outpatient pathways

High

Discuss with Acute GP for

?acute admission

or phone IR on extension 3962

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