Heart failure and cirrhosis are also a common cause of distension. In both of these disorders, fluid accumulates in the abdomen and creates a sensation of fullness. Abdominal distension can also be a symptom of ovarian cancer. Women are more prone to bloating and often identify these symptoms during menstruation.
Clifford replaces McNamara. Clark Clifford replaces Robert McNamara as Secretary of Defense. McNamara, who had first taken office under President John F. Kennedy, left amid a debate over Vietnam policy precipitated by the Tet Offensive. In the summer of 1967, McNamara had become convinced that the United States should seek an end to the war through a negotiated settlement.
Elder Nolan McNamara is the current elder of the Mojave chapter of the Brotherhood of Steel living at the Hidden Valley bunker in 2281. A Brotherhood Paladin once, McNamara assumed control of the Mojave chapter of the Brotherhood after Father Elijah vanished during the disastrous NCR attack on Helios One.