FINDINGS: HX + P.E

Question 1

Ascites

5 P.E + 1 HX

Answer 1

P.E:

• “Shifting dullness” (contin percussion LAT -> MED)
  
  • Supine: bilat flank dullness
  • Lat Decubitus: shifting dullness
• Prog ab distension
• Ab pain
• Gen/Peripheral Edema

HX:
- Ab Wall Hernias

Question 2

Ab Distension

4 HX

Answer 2

HX:

• Weight Gain
• Early satiety
• Diarrhea
• Dyspnea

Question 3

IBS-C

Answer 3

HX:

• Ab discomfort (esp bloating) for min 3 days per month for min 3 months
• Relief w defecation
• Change in stool freq + appearance