Complain of abdominal swelling

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A 40-year-old patient presents with a chief complain of abdominal swelling. Vital Signs: Ht:6.0 ft, Wt:280.0 lbs., T:98.9 F, BP: 130/90 mmHg, HR:80 bpm, RR: 20 bpm. Interview reveals chronic alcoholism, with normal diet and fluid intake. Physical exam reveals abdominal distension and positive fluid wave. Blood glucose is 80 mg/DL with an HBA1C of 6.0%. ECG shows sinus rhythm. Echocardiogram shows an ejection of 55%. What factors are contributing to the abdominal distension? Please select all that apply. Diabetes Mellitus Cushing's disease Bacterial peritonitis Loss of albumin Hepatomegaly Portal hypertension Splenomegaly Decreased ADH Kidney failure Primary polydipsia.

Reference no: EM133693233

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