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in Loop
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Abdominal Distention: Everything You Need To Know
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Approaching a patient with abdominal distension requires a thorough history, physical examination, and appropriate investigations. Start by noting the onset, duration, and associated symptoms like pain, vomiting, or bowel changes. Assess dietary habits, recent surgeries, and medical history. During examination, observe the shape, symmetry, and presence of visible peristalsis. Percussion differentiates between fluid (ascites) and gas (intestinal obstruction). Palpation identifies tenderness or ma
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Approaching a patient with abdominal distension requires a thorough history, physical examination, and appropriate investigations. Start by noting the onset, duration, and associated symptoms like pain, vomiting, or bowel changes. Assess dietary habits, recent surgeries, and medical history. During examination, observe the shape, symmetry, and presence of visible peristalsis. Percussion differentiates between fluid (ascites) and gas (intestinal obstruction). Palpation identifies tenderness or ma
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Ascites is the pathologic accumulation of fluid in the abdominal cavity, most commonly due to portal hypertension from liver cirrhosis. 🔹 Common Causes • Cirrhosis (most common) → portal hypertension • Heart failure • Malignancy (e.g., liver cancer) • Pancreatitis • Hypoalbuminemia (nephrotic syndrome, severe malnutrition) • Peritoneal tuberculosis 🔹 Key Symptoms • Progressive abdominal distension • Feeling of tightness or heaviness • Early satiety and reduced appetite • Shortness of breath (d
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Abdominal distension is the abnormal increase in the size or girth of the abdomen due to accumulation of contents within the abdominal cavity. It is a clinical sign, not a disease, and indicates an underlying pathology. Mechanism Distension occurs when there is an increase in: • Gas → intestinal bloating • Fluid → ascites • Solid contents → feces, organs, or tumors • Fat or fetus Common causes (6 F’s) 1. Fat – obesity 2. Fluid – ascites (liver disease, heart failure, malignancy) 3. Flatus – exce
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