Abdominal examination: increasing abdominal swelling and tiredness

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Patient: Paul Dubois, 54, male

Patient: Hello doctor. My belly has been getting bigger over the last few months and I feel tired all the time. My tummy has swollen up over about three months. My trousers do not fit and my ankles have puffed up too. I am exhausted and have no energy. I have lost my appetite as well.

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Introduces self, states role and confirms the patient's name and date of birthExplains the examination and gains verbal consentOffers a chaperone, exposes only what is needed, keeps the patient covered and comfortableWashes or sanitises hands before examiningAsks about alcohol in a non-judgemental, empathic mannerSignposts each step and asks about pain before palpatingSummarises findings and explains next steps in plain languageThanks the patient, checks they have no further questions and closes the consultation