Rawaaabout 7 years ago

35 yrs old female came c/o abdominal distention increased graudaly over the past 4 month and SOB and confusion for 5 day On Exam: tachypenic , BP 100/60 , pale not J° , distended abd , +shifting dullness , hepatosplenogally , grade 3 hemorroid Ascitic fluid was hemorrhogic TWBC 1400 , 70% LYMPHO ,protein 4.9 ESR 10 , TWBC 9.000 , HB 7.5 Microcytic hypochromic RFT & LFT were normal Have past Hx of J° Para 6+0 , A° for 1yrs Any differntial?