How would you workup a patient who develops ascites AFTER liver transplantation?  

Evaluate ascites with triglyceride level to see if chylous - management of this is fat-restricted diet. This is common in the immediate post-transplant setting (1-3 months). If ascites is high SAAG and low total protein, then a direct hepatic venogram with pressure measurements along the hepatic ve...

Challenging patient population. TTE to try to exclude cardiac etiology - HFpEF is often a significant factor, particularly with cardiorenal physiology. Sometimes, a hepatic venogram is needed to confirm no outflow obstruction. Good CTA to assess for portal vein stenosis - in the post-transplant sett...