Abdominal distension

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Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 



This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment . 

Chief complaints:


HOPI:

4 Months back patient developed fever which is continuous , Low grade and Fever is associated with vomiting which is bilious type,foul smelling,food as content ,non blood stained ,2 to 3 episodes per day went to local hospital and found he is suffering Liver disease.They treated him and symptoms susbsided.


 2 months back he developed bilateral lower limb swelling ,pitting type ,swelling present upto thighs and also developed Abdominal distension.History of shortness of breath , Garde 4 ,No chest pain,No orthopnea,No PND.For which they went to local hospital and swelling and distension decreased.

He developed same complaints since 10 days.


PAST HISTORY:


K/CIO T2DM Since 6 Months and is on unknown medication.

N/K/C/O Hypertension,Epilesy, Asthma, Thyroid disorders.


PERSONAL HISTORY:


DIET :mixed

APPETITE :disturbed

SLEEP: disturbed

H/O Alcohol intake Since 20 Yrs every day about 50 to 100 ml

No H/O Tobacco intake

No H/O Allergies


FAMILY HISTORY: 

N/K/C/O DM, Hypertension,Epilepsy, Asthma, Thyroid disorders.






GENERAL EXAMINATION:

Patient is conscious,coherent and co operative.

Well oriented to time,place and person

Pallor: +

Edema present upto thighs

No Icterus,clubbing,cynosis,lymphadenopathy 


VITALS:

TEMP: 98.2F

BP: 120/80 MM/HG

PR: 84 BPM

SPO2: 99%

RR: 16CPM


SYSTEMIC EXAMINATION:


PER ABDOMEN:


INSPECTION:

Abdomen - Distended

Umbilicus-central and everted

Scars present 

Distended veins present.

No sinuses,No visible peristalsis.













Investigations:



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