Abdominal distension

Question 1

causes?

Answer 1

6 F’s

Fluids, flatus, fat, faeces, fetus, cancer

Question 2

What are the features of Ascities?

Answer 2

Shifting dullness, other features of liver disease

can be transudate and exudate

Question 3

What is the different between types of ascites

Answer 3

Transudate-low cells-Cirrhosis, cardiac failure, nephritic syndrome

exudate-malignancy, Infections (TB), other

Question 4

how to manage acute abdomen?

Answer 4

Acute Abdomen

Nil By Most, IV fluids, analgesics, consider antiemetics, consider antibiotics, consult surgeons, monitor vitals

if bleed, send for OGD

if variceal bleeds-abx and Terlipressin (sphlancic vasopression)

investigate-FBC, U&E, LFT, CRP, Clotting, C&S, Xmatch, Erect CXR, CT

Question 5

How do you manage ascites?

Answer 5

sample fluid,

diuretics (spirolactone)
Reduce salt intake
fluid restriction
Monitor wt daily
Therapeutic paracentesis

consider Abx

Question 6

For enclopathy?

Answer 6

Lactulose