Examine abdomen
Only finding: ascites
Causes:
Cirrhosis
Cancer
CHF
…
…
What will you do next ?
Tap ( paracentesis )
Extra notes , Remember the JVP :
Beats twice
Non – palpable
Occludable
To examine JVP, raise bed to 45 degree
In normal healthy patient , JVP filling less 4 centimeter vertical height above sternal angle
