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50-year old chinese man with abdominal distention (Flatus (intestinal…
50-year old chinese man with abdominal distention
Fluids
ascites
portal hypertension
Liver cirrhosis
Hepatic:
Alcoholic hepatits
Liver failure
Cancer including liver metastases
Cardiovascular causes:
Right heart failure, constrictive pericarditis
IVC obstruction
Veno-occlusive (sinusoids obstruction)
non-portal hypertensive
Tuberculous peritonitis
Peritoneal carcinomatosis
Biliary leak
Nephrotic syndrome
Pancreatitis
complications infection:
Bacterial peritonitis
Fever
Nausea
Vomiting
New onset of or exacerbation of preexisting hepatic encephalopathy.
Localised
abscesses
pseudocyst
Fat
diet and lifestyle
secondary to
other disease
Cushing's
syndrome
Feces
constipation
obstruction
abdominal pain
nausea
vomiting
Flatus
mechanical obstruction
Adhesions
Hernias
Volvulus (sigmoid, cecal)
bacteria metabolism
intestinal pseudo-obstruction (decreased motility)
Acute colonic obstruction
chronic intestinal obstruction
Myopathic
Scleroderma
Familial
Neuropathic
Enteric (Diabetes, amyloid, paraneoplastic, narcotics)
Extrinsic (MS, spinal injury, stroke)
Fatal growth
abdominal aortic aneurysm
pulsatile and expansile
enlargement of organs
kidney
bilateral
autosomal dominant polycystic kidney
Obstruction:
bladder outlet obstruction
bilateral hydronephrosis
unilateral
neoplastic:
renal cell CA
Obstruction
(ureter and proximal):
hydronephrosis
pyonephrosis
pyelonephritis
gallbladder
non-jaundice
gallbladder CA
(if CBD intact)
Mucocele,
empyema
Cholecystitis
jaundice
gallbladder CA
(if CBD compressed or invaded)
periampullary cancers
CA head of pancreas
CA ampulla of Vater
distal cholangiocarcinoma
Liver (hepatomegaly)
spleen (splenomegaly)
malignancies