Monday, May 11, 2009


Mr. Jo, 45 years old man with previous history of right coronary artery infarction presented to HUSM. He has progressive effort intolerance and abdominal discomfort. On abdominal examination, there are positive fluid thrills and shifting dullness.
  • What is the sign of the abdominal findings in this patient and state the possible cause. (1m)
  • What are the 4 expected clinical signs that might be obtained in this patient? (2m)
  • Outline the pathophysiology of the abdominal signs. (2m)




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