A 66 YR OLD MALE CAME WITH C/O ABDOMEN DISTENSION SINCE 20-30 DAYS, PAIN ABDOMEN SINCE 1 WEEK, CONSTIPATION SINCE 2 DAYS, DECREASED URINE OUTPUT SINCE 2 DAYS
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A 60 YR OLD MALE CAME WITH C/O ABDOMEN DISTENSION SINCE 20-30 DAYS, PAIN ABDOMEN SINCE 1 WEEK, CONSTIPATION SINCE 2 DAYS, DECREASED URINE OUTPUT SINCE 2 DAYS
PATIENT WAS APPARENTLY NORMAL 1 MONTH BACK THEN HE DEVELOPED ABDOMINAL DISTENSION WHICH IS PROGRESSIVE AND ASSOCIATED WITH PAIN ABDOMEN SINCE 1 WEEK, CONSTIPATION ANS DECREASED URINE OUTPUT SINCE 2 DAYS
NOT A K/C/O HTN,DM,CAD,ASTHMA,TB
H/O TRAUMA TO LEFT LEG 5 YR BACK
OCCASIONALLY TAKES ALCOHOL
GUTKA CHEWER
NON SMOKER
HIS APPETITE IS NORMAL
MIXED DIET
EXAMINATION
PT IS C/C/C
NO PALLOR, ICTERUS, CYANOSIS, CLUBBING, LYMPADENOPATHY, PEDAL EDEMA
VITALS
TEMP- AFIBRILE
PR- 100 bpm
BP- 120/80 mmHg
RR- 16 cpm
GRBS- 99 mg/dl
ABDOMINAL EXAMINATION
SHAPE- DISTENDED
TENDERNESS- PRESENT
FREE FLUID PRESENT
NO ANY PALPABLE MASS
HERNIAL ORIFICES ARE NORMAL
NO BRUIT
LIVER AND SPLEEN ARE NOT PALPABLE
BOWEL SOUNDS PRESENT
ABDOMINAL GIRTH 87 cm
WEIGHT 57 Kg
P/R: RECTUM LOADED WITH FAECES
CVS: S1S2 + NO MURMURS
RS: BAE+ NVBS+
CNS: NFD
DIAGNOSIS: HEMORRHAGIC ASCITIS SECONDARY TO PANCREATITIS?
ASCITIC TAP DONE ON 5/11/2021
MANTOUX TEST DONE ON 9/11/2021
INVESTIGATIONS ON 9/11/2021
