Severe Jaundice

HBsAg, HCV,HIV - Non reactive LFT is deranged and attached USG WA doesnt reveal anything significant.

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What about head of pancreas ? HbsAg report Consult Gastroenterologist
Attached sir HBsAg report
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Cryptogenic chronic hepatitis, resulting in cryptogenic cirrhosis liver. Need to recheck Hepatits B, ( HBs Ag antibody, core antigen, envelope antibody , viral load) , hepatitis C and E . HIV ANA profile to rule out autoimmune hepatitis Check Ceruloplasmin levels . Rule out alcoholic hepatitis. Suggest Fibro scan of liver Liver biopsy CBD normal size ,6 mm to 8 mm. In this case CBD is smaller in size, ? due to cirrhosis Supportive measures , Ursedeoxy cholic acid, liver protective.
Thank you, Doctor
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It is a case of non alcoholic fatty disease of liver. This usually present with fatty person. The end result of non alcoholic fatty liver also known as steatohepatitis which with infection may lead scarring and ultimately end with cirrhosis of liver causing severe jaundice with all liver enzyme raised. MRI may be helpful .
Bilirubin elevated above 15 with SGOT above 1000, the first differential should be a viral hepatitis. So, rule out hepatitis A and E. If those are negative then other differential is Autoimmune hepatitis What is the duration of illness and what are the presentating complaints?
There were no such complaints, only lethargy and someone has said to her that your eyes are so yellow so she was concerned
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IT'S A..CASE OF. . ? LIVER PATHOLOGY.. ? VIRAL HEPATITIS.. NEED'S.. HEPATITIS..VIRAL STUDY.. FIBRO TEST.. ANA..PROFILE.. MRI STUDY.. MEANWHILE TREAT SYMPTOMATICALLY..
Tnx Dr Rajendra Rai
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CLD, Any alcoholic history, Give I/V inj. Hepamerz 1amp. Conc. With D5%, Need completed Pt. History
No history of alcohol intake sir
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NON ALCOHOLIC FATTY. DISEASE LIVER...STEATOHEPATITIS.. ADVISABLE.. MR I
Ask for CT scan of ABDOMEN to ruled out malignancy
Proceed for MRCP .. Refer to Gastroenterologist.
Ok mam
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Do CECT abdomen
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