What is the pathophysiology of his edema

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Reference no: EM133546149

Case Study 1

The Patient

• 59-year-old male

• Brought into emergency department by wife who noticed confusion over the past three days

• The patient showed muscle wasting and increased abdominal girth and tenderness.

Patient History

• No recent infections, fever, illness or falls
• Drinks 8-12 beers per day since 25+ years
• Has had a "beer belly" for about 10 years which got bigger over the past month and tender for the past 3-4 days.

Physical Examination

• Abdomen large distended and tender to palpation
• Positive fluid wave on fluid thrill examination, shifting dullness, difficult to find liver border

Laboratory Results

• Liver enzymes (AST and ALT) increased
• Serum ammonia increased
• Serum albumin decreased
• Bilirubin slightly increased
• Clot formation altered (prothrombin (PT) time increased)

Questions

What I wanted to know from you all is:

1) What kind of edema is the patient suffering from, given the signs?

2) What do the physical exam and lab results indicate for a possible diagnosis?

3) What is the pathophysiology of his edema? Which capillary forces are at play? Which capillary alterations could explain his clinical signs and symptoms?

Reference no: EM133546149

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