Abdominal distention: Difference between revisions
| Line 13: | Line 13: | ||
*May be obvious on physical exam (e.g. obesity) | *May be obvious on physical exam (e.g. obesity) | ||
*Consider ultrasound as a first test (e.g. obesity vs. ascites) | *Consider ultrasound as a first test (e.g. obesity vs. ascites) | ||
*If unsure, consider CT abdomen | *If unsure, consider CT abdomen | ||
==Management== | ==Management== | ||
Revision as of 17:38, 4 June 2020
Background
- Defined as: diffuse swelling or enlargement of the abdomen.
- It can also apply to the sensation of elevated abdominal pressure and volume.
Clinical Features
Ascites secondary to cirrhosis.
- Diffuse swelling or enlargement of the abdomen (or the sensation of such)
Differential Diagnosis
Abdominal distention
- Obesity
- Intestinal obstruction
- Pregnancy
- Ascites
- Cirrhosis
- Malignancy
- Heart failure
- Tuberculosis
- Spontaneous bacterial peritonitis
- Peritoneal dialysis-associated peritonitis
- Distended bladder / Acute urinary retention
- Constipation / fecal impaction
- Large tumor(s) (e.g. ovarian, lymphoma)
- Organomegaly
Evaluation
- May be obvious on physical exam (e.g. obesity)
- Consider ultrasound as a first test (e.g. obesity vs. ascites)
- If unsure, consider CT abdomen
Management
- Depends on underlying etiology.
Disposition
- Depends on underlying etiology.