Can u Diagnose ?- Not just Liver but HEART Disease due to Alcoholism !!!
41 year old Chronic Alcoholic
Ÿ Swelling all over body since 25 days
Ÿ Breathlessness since 15-20 days.
Ÿ Abdominal distension- insidious onset & gradual progress since 2.5 years.
Ÿ History of Jaundice 2.5 years back.
LFT- Total Bilirubin-9.7(Normal 0.3-1.3) , Direct Bilirubin- 1.20(0.1-0.2)mg/dl
Sonography of Abdomen -
Ÿ Massive Ascitis;
Rounded IVC with prominent hepatic veins s/o CCF.
Ÿ Hepatomegaly with Fatty
ECG-Left Ventricular Hypertrophy, QT prolongation, ExcesiveOverload of Lt Atrium
1.) What is the Diagnosis ?
2.) What is the cause of ASCITIS in this Case ?