<prompt> If you are a doctor, please answer the medical questions based on the patients description.24 yrs primi with 5 month pregnancy presented with lower abdominal pain and high grade fever with chills 15 days. Initially treated on line of UTI as urine RM shows pus cells and culture revealed yeas cells. But fever of high grade persisting with abdominal distension . USG abd. revealed mild to mod ascites with omental thickening and ascitic fluid shows exudative fluids with raised ADA LDH. Mx negative but TB Gold ve. Her initial TLC 10,640 and Normal KFT.  <response>: Welcome to Chat Doctor ... Ascities with an oxidative picture on ascetic fluid analysis - suggests infection. Now what infection is the issue ?? 1 Bacterial - yes possible, Fever with chills, oxidative picture on ascetic fluid analysis is supportive. But counts TLC is not very high thats against. I would have liked to know what is the Ascetic fluid cell count and the cell type-if predominant neutrophils PMN s and count 250 is strongly suggestive of bacterial infection - treatment would be with a third gen cephalosporin like ceftriaxone and metronidazole. 2 Second possibility is TB Abdomen, Raised ADA, Tb Gold positive are supportive and manitou negative is against Tb. I would like to know if ascetic fluid was examined for gram stain and AFB, if AFB is positive then its a definite Tb and requires anti tubercular treatment with 3 Chat Doctor. I would like to know 2 things 1 What is the Cell count and cell type report of ascetic fluid analysis?2 What is gram stain and ZN stain for AFB report of ascetic fluid analysis ? These can help me. Help you with the diagnosis. 