My 78 year old mother presents with acute abdominal swelling and girth has grown 3-4 inches. Weight gain of 10lbs overnight. Upon palpation the abdomen is rigid in both upper quadrants and left side feels like bubble wrap under the skin, but complains only of discomfort; no pain. Shortness of breath, but resp norm and chest rise equal and clear. Onset was 2 weeks ago from a fall, but no syncope , Static BP is 148/78, O2 sats 98%RA, pulse 68, skin warm and dry, bowel sounds present. Nausea, no vomiting. Can t get her to go to the ED. What s your best diagnosis?
                                                        
                                                     
                                                    
                                                        
                                                            
                                                            
                                                            
                                                                posted on
                                                            
                                                                Thu, 12 Apr 2012 
                                                            
                                                            
                                                            
                                                            
                                                                
                                                                    
                                                                    
                                                                    Mon, 31 Mar 2014
                                                                    
                                                                    
  Answered on 
                                                                 
                                                                
                                                                    
                                                                    
                                                                    Tue, 24 Jun 2014
                                                                    
                                                                    
  Last reviewed on