A male with Massive Abdominal Distension

A male aged 45 years Chief Complaints Gradually Increasing Abdominal Distension B/L Pedal Edema DOE(++) (x 2 months) Physical Examination P/A- Free fluid(++)

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please do a tap and send for fluid analysis. Spleen does not look enlarged so not sure if this is cirrhosis related ascites. Can you give some more history and labs?

Free fluid in peritoneal cavity Renal shadows are contracted Likely a c/o CKD

Liver failure

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