CaseDiscussion_ABD painCreated by:
A middle aged gentleman with background history of alcohol liver cirrhosis (with oesophageal varices, and ascites), hypertension, smoker of 30 pack years, on-going intermittent alcohol comsumption, was admiited to hospital due to increased in abdominal distension and generalised abdominal pain. He was not drinking any alcohol for the last 2 weeks, but did drank heavily for 1 week prior to that. Patient was no encephalopathy on admission. On examination, patient's abdomen was grossly distended with positive shiftinh dullness, some generalised slight tenderness on palpation. Patient's vitals (blood pressure, respiratory rate, oxygen saturation, temperature, pulse rate) were normal. PFA was normal. There were slight increased in white cell count, neutrophil and CRP, with stable liver function test. What is your differential diagnosis for his abdominal pain ? what is the next appropriate diagnostic test and management plan ??