Abdominal Distension :: PLAB 2 Symptomatic Differential Stations

• Ovarian cancer

  • Other presenting symptoms: 

    • Tummy and pelvic pain

    • Bloating

    • FLAWS

    • Old lady

  • Past history and PMAFTOSA: 

    • Family history

  • Social: 

    • Life situation

    • Life effects

  • Exam and Invs:

    • GPE, vitals

    • Abdominal examination

    • Abdominal and Chest Xray

    • PR,

    • Routine bloods, urine dipstick

    • CA125, stool occult blood

    • USG/CT

  • Referral:

    • Cancer pathway to OG

  • Treatment: 

    • Painkillers

    • Support groups

    • Chemotherapy, Radiotherapy, Surgery

  • Warning signs:

    • Symptoms getting worse, drowsiness, bleeding anywhere

• Heart failure

  • Other presenting symptoms: 

    • SOB, pedal edema

    • Tiredness

    • History of MI

  • Past history and PMAFTOSA: 

    • Past medical

    • Medication history including adherence

  • Social: 

    • Life effects

    • Stress, Mood

  • Exam and Invs:

    • GPE, vitals

    • Abdominal examination, Leg examination

    • Abdominal and Chest Xray, ECG, ECHO

    • PR

    • Routine bloods, BNP

  • Referral:

    • Medicine admission

  • Treatment: 

    • O2, Furosemide

    • Medication review

  • Warning signs:

    • Symptoms getting worse, drowsiness, chest pain

• Liver Cirrhosis

  • Other presenting symptoms: 

    • Nausea, vomiting

    • Jaundice, Pedal edema

  • Past history and PMAFTOSA: 

    • Alcohol history

    • Medication history

  • Social: 

    • Life effects

    • Mood, stress

  • Exam and Invs:

    • GPE, vitals

    • Abdominal examination

    • Abdominal and Chest Xray, ECG, ECHO

    • PR

    • Routine bloods, BNP, lipid profile, LFT, clotting profile

    • USG/CT

  • Referral:

    • Medicine admission

  • Treatment: 

    • Spironolactone tabs

    • Ascitic tap

  • Warning signs:

    • Symptoms getting worse, drowsiness, bleeding anywhere