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Today at Aastha Geriatric Centre, an elderly patient presented with a distended abdomen, a common sign of ascites, often linked to chronic liver disease. Upon examination, Dr. Shukla demonstrated how to identify a thrill, a palpable vibration felt over the chest or abdomen, indicating abnormal fluid accumulation. Recognizing a thrill is crucial in diagnosing underlying conditions such as ascites caused by liver or heart issues. Ascites can develop due to several reasons, and in this case, chronic alcohol intake may have led to cirrhosis of the liver, a frequent cause of fluid buildup in the abdomen. However, other conditions like tuberculosis in the abdomen (abdominal cox), heart failure, gastrointestinal malignancies, or stomach cancer must also be considered during diagnosis. A thorough evaluation is essential before starting treatment to ensure the right approach for recovery. #AasthaCares #LiverHealth #AscitesCare #ChronicLiverDisease #GeriatricCare #PalliativeCare #Thrill #MedicalExamination #PatientCare #ElderlyHealth #aasthahospice #sajournalofgeriatric #drabhishekshukla #palliativecare #geriatrics #geriatrician #geriatriccare #doctor