Abdominal Distension

Question 1

Causes of Abdominal Distension

Answer 1

Fluid

Fat

Feces

Fetus

Fatal Tumour

Question 2

What investigations would you order? Why? What are the aims of INV?

Answer 2

Investigations need to rule out or confirm differentials; monitor condition; confirm physiology.

Acute hepatic Failure

Cirrhosis

Heart Failure

Question 3

Functions of LIver

Answer 3

Excretion

Synthetic (Albumin)

Metabolic (Billirubin, bile?)

Question 4

Pathophysiology of Portal of HTN;

Question 5

Drugs that cause Gynaecomastia

Answer 5

Spironolactone

Question 6

CAGE Questions

Answer 6

Cut Down; Have you ever thought of cutting down?

Annoyed; anyone annoyed?

Guilty; ever felt guilty?

Eye opener; need one in the morning?

Question 7

Normal LFTS

Answer 7

• *ALT.** 7 to 55 units per liter (U/L)
• *AST.** 8 to 48 U/L
• *ALP**. 45 to 115 U/L
• *Albumin.** 3.5 to 5.0 grams per deciliter (g/dL)
• *Total protein**. 6.3 to 7.9 g/dL
• *Bilirubin.** 0.1 to 1.0 mg/dL
• *GGT.** 9 to 48 U/L
• *LD**. 122 to 222 U/L
• *PT**. 9.5 to 13.8 seconds

Question 8

Differentials For Abdominal Pain

Answer 8

See Image