A 9 years old man with progressive bilateral pedal edema and ascitis from month ago. A 49 years old man with progressive bilateral pedal edema and ascitis from month ago



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tarix25.12.2016
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A 49 years old man with progressive bilateral pedal edema and ascitis from 1 month ago.

  • A 49 years old man with progressive bilateral pedal edema and ascitis from 1 month ago.

  • History of DM for 4 years.

  • Three months ago during the evaluation for excessive proteinuria inappropriate for diabetic nephropathy ,prolongation of PT was detected before kidney biopsy.

  • Viral markers requested and was referred for liver function evaluation.



Vital signs were stable. No fever.

  • Vital signs were stable. No fever.

  • Mild anemia. Ichterus in sclera.

  • Parallel collaterals in chest and upper abdomen which filled upward.

  • Tense ascitis. liver span 14 cm.

  • Moderate splenomegaly .

  • No signs of chronic liver disease.


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