Differential diagnosis Liver diseases(cirrhosis) Clinical evidence of hepatic disease Jaundice spider angiomas ascites ascites refractory to the treatment Edema may also occur in other part of the body due to: hypoalbuminemia Increased intraabdominal pressure impede venous return from the lower extremitiesDifferential diagnosis Liver diseases (cirrhosis) • Clinical evidence of hepatic disease jaundice spider angiomas ascites • Ascites refractory to the treatment • Edema may also occur in other part of the body due to: hypoalbuminemia increased intraabdominal pressure impede venous return from the lower extremities