<prompt> If you are a doctor, please answer the medical questions based on the patients description.SIR WE HAVE DONE FOLLOWING TESTS CASE HISTORY PATIENT NAME-PREMALATA BISWAL,AGE -76 YRS,FEMALEHAVING LONG STANDING DIEBETIC TYPE-2,COMPLAINED ABT ASCITIC FLUID RETENTION.1ST WE DID U S OF ABDOMEN PELVIS .RESULT OR IMPRESSION:CHRONIC MEDICAL RENAL DISEASE GRADE -III,MILD SPLENOMEGALY ,MILD TO MODERATE ASCITES ,THEN WE DID FLUID EXAMINATION-FLUID EXAMINATION22.09.2012 : SPECIMEN-ASCITIC FLUID,COLOR-PALW YELLOW,VOLUME-08 ML,CLOT-NIL,SUGARGLUCOSE-1588 MGDL,PROTEIN-1.2MGDL, ADENOSINE DEAMINASE ACTIVITY-08 UL,GRAM STAIN-NO BACTERIA SEEN,Z.N STAIN OF AFB-NEGATIVE,CYTOLOGY TOTAL COUNT-225 CELLSCUMM,DIFFERENTIAL COUNT:CYTOSMEAR FROM CENTRIFUGED DEPOSITS SHOWS: LYMPHOCYTES-70,MESOTHELIAL CELL-25,POLYMORPHS-5,NO MALIGNANT CELL SEEN.AFTER WE DID CA 125,RESULTS 42.00 UML,CA-19.9 RESULTS-126.91 UML,AFTER THIS WE PERFORMED PLAIN CONTRASTBOTH ORAL IVENHANCED CT SCAN OF WHOLE 29.09.2012ABDOMEN,IMPRESSION:FEATURES ARE SUGGESTIVE OF 1MODERATE ASCITES,2MILD THICKENED ANTERO-PYELORIC WALL OF STOMACH,3RIGHT RENAL CYST.4MINIMAL RIGHT SIDE PLEURAL EFFUSION.SUGGESTED :UPPER GI ENDOSCOPY.AFTER THIS WE DID ENDOSCOPY ON 30.09.12 IMPRESSION- FEATURES OF GASTRO-DUODENITIS.KINDLY SUGGEST WHAT TO DO?  <response>: Her ultrasound findings are suggestive of chronic kidney disease CKD however there are many tests which are needed to confirm it.1 Hemoglobin and CBC2 Kidney Function Tests3 Urine routine and 24 hours urinary proteins4 HbA1c levels5 ECG6 EchocardilographyAlso the sugar levels in ascetic fluid are very high indicating that her diabetes is uncontrolled. Accumulation of fluid in abdomen can be a part of diabetic kidney disease as well as of associated heart disease. All these reports are required to know that. Meanwhile, she should reduce her sugar, salt and water intake and take medicines like Las ix or Dy tor if not taking already. Should get in touch of a nephrologist in your city. 