Questions About PD
So your patient has mildly elevated PDF WCC which is predominated by monocytes. The differential diagnosis are tuberculous peritonitis, and chemical periotnitis caused by icodextrin or other substances. I suggest you should send the effluent of the longest dwell for AFB smear and culture +/- PCR for AFB. Check whether she is using icodextrin or intraperitoneal additives.If yes, please see if the WCC would decrease if stopped for a week.