Abdominal distension

65 y/o male, noted to have huge abdominal distention, pain, and tender to touch. Patient also complaints of loose stools. PMH of CKD stage 3 Gerd. The patient denies any discomfort, No SOB. it looks like ascites. What should be the management plan?

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Stool examination, widal test and ultrasound abdomen. Start with ciprofloxacin Ornidazole bd for3 to 5 days
IT'S A..CASE OF.. ABDOMINAL DISTENTION .. WITH.. CKD .. AND ..LOOSE MOTIONS.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * URINE ROUTINE.. * BSR..HBA1C.. * LFT..KFT.. * STOOL EXAMINATION..C& S .. * USG..STUDY ABDOMEN.. MEANWHILE TREAT SYMPTOMATICALLY..
Tnx Dr Jaffery
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Huge abdominal swelling without any physical discomfort with ? ,everted umbilicus quite likely a case of fluid in peritoneal cavity or ascitis. Old case of CKD with GERD and now having loose motions Initially an USG to be done as first step of clinical evaluation Bllood for relevant investigation like Hb% Kidney profile liver profile Tapping if ascitic fluid to see presence of blood or not for cell count. malignant cell to exclude any intra abdominal malignancy.
X Ray abdomen to see intestine obst USG abd - ascites, gaseous distension, organomegaly, Lab Ix CBC LFT RFT Electrolytes TSH Urine analysis Causes Irritable bowel syndrome, diabetes, functional dyspepsia or transient constipation. Rarely Crohn's disease and ulcerative colitis. Rx Treat underlying causes
Do USG abdomen.....if needed do paracentesis. RFT,LFT,CBC&Ascitic fluid analysis should be done. IV fluids, strict monitoring of input and output of fluids... Broad spectrum antibiotics.
USG Abdo. Needs further investigation and evaluation to conclude and symptomatic treatment till reports complied. Tapping and analysis of ascites fluid.
Thanks Dr Dinesh Gupta
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Complete haematological investigations including LFT.A USG is indicated.If ascites,then fluid to be tapped and analysed for exudate vs transudate.
Consistent with ascites. Tapping for symptomatic relief Ascitic fluid should also be tested. Ix Usg abd Cbc Lft, kft Urine analysis
USG of Whole abdomen. Blood for LFT, CBC ESR. Clinical assessment of dehydration. Treatment of Loose stools. Follow up with reports
Thank you Dr Jain, Harshita
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USG ABDOMEN AND PELVIS/USG GUIDED FNAC STOOL FOR C/S WITH ALL REQUIRED HEMATOLOGICAL INVESTIGATIONS TO CONCLUDE
Thanks Dr Tripathy Sir.
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