57 year old male with a long history of heavy alcohol consumption presents with complaints of severe abdominal pain and nausea. On exam he's mildly agitated and disoriented to time. Mildly febrile, tachycardic, tachypnic, blood pressure 90s/50s, normal O2 saturation. Jaundiced, numerous spider angiomata including telangiectasias on his face, arms, and chest. Abdomen is grossly distended, obvious fluid wave, and diffusely tender, no guarding but tenderness is elicited on abdominal percussion and rebound.
What acute illness to you most suspect? How will you confirm the diagnosis? How will you perform the diagnostic test? What results do you suspect? If results confirm your suspicion, how will you manage the patient?
Click here for checklists, videos, and guides on this diagnostic question.
No comments:
Post a Comment