MedBugs: SAQ #268

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Case: Decompensated cirrhosis with ascites

A 57-year-old patient with alcoholic liver cirrhosis presents with abdominal pain, tense ascites and fever. Vital signs are as follows :

HR 110
BP 100/60
Sats 97% RA

Termp 39°C

1. List four differential diagnoses for this presentation. 4 marks

2. Other than patient consent, state four key steps in performing an ascitic tap. 4 marks

After the procedure, the patient complains of worsening abdominal pain. Updated vitals : HR 120 BP 80/60 Sats 97% RA

3. State four steps in your immediate management priorities following clinical deterioration. 4 marks

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Case: Decompensated cirrhosis with ascites

1. List four differential diagnoses for this presentation. 4 marks

2. Other than patient consent, state four key steps in performing an ascitic tap. 4 marks

3. State four steps in your immediate management priorities following clinical deterioration. 4 marks

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