mostafa alahmadyabout 7 years ago

55 yo male pt known to be hepatic .came reporting sudden onset of left scrotal pain and swelling ,when he came back home he put cold water and raise his legs then he got better .After doing some efforts he got the swelling again not only in the scrotum but in his left side of abdomen as well.afterwords the swelling extends bilaterally in both legs .Scrotal US ,LFTs,CBC ,US abdomen were ordered upon which ascites or anasarca were excluded ,morever ,the patiend comaplaint of swelling in his face that diminishes throughout the day. It's worthmentioni g that albumin level is about 3.8 What further investigations do we have to do?