- PACES station 1 abdomen
- PACES station 1 respiratory
- PACES station 2 history taking skills
- PACES station 3 cardiovascular
- PACES station 3 neurology
- PACES station 4 communication skill and ethics
- PACES station 5 (new station 5)
- PACES station 5 endocrinology
- PACES station 5 Fundus
- PACES station 5 rheumatology
- PACES station 5 skin
- record of PACES experience
Tuesday, 3 June 2008
middle age male unwell with nausea and vomiting and abdominal distension,juandiced,ecchymoses,hepatosplenomegaly with ascites.had a urinary catheter.
asked to give various defferentials.
asked about investigation and management of ascites.
ascites is the pathological presence of fluid within the peritoneal cavity.
1-liver cirrhosis with portal hypertension
3-congestive cardiac failure
ascetic tab and send fluid for:
cell count,culture and gm stain
use the protein level to defferentiate between exudate and transudate.
exudate has protein content of 25g/L
serum-ascites albumin gradient correlate directly with the portal press.
SAAG gradient>11g/L indicate portal hypertension with transudate
SAAG gradeint<11g/L indicate exudate
lines of management:
1-bed rest ?of little value
what are the complications of ascites?
what is the pathophysiology of ascites?
Labels: PACES station 1 abdomen