26 /m yellow color urine output since 10 days . No gi symptoms . Vital normal.
He is a c/o hepatitis with bilirubininia LFTs are deranged Most likely viral hepatitis B Evaluate viral profile Treat on iv fluids dextrose Inj multivitamins Inj vit c Inj dexamethasone Sos antibiotics Rest supportive treatment
Case of jaundice. Mostly viral hepatitis B Needs further investigation and evaluation to conclude till reports complied. IV dextrose +inj multivitamin Inj ceftam 500 mg Inj dexona 2ml iv bd Supportive treatment and complete rest. Avoid oily spicy and fast food.
Icterus? Needs LFT Usg abdomen. Can be obstructive jaundice. If severe weakness with mild fever then infective Hepatitis
Dx-obstructive jaundice -most likely obstrction at ampulla of vater.cause-may be any neoplasm of pancreas. Icterus-++. Alkaline phosphatase-692iu/l Bile salts and bile pigments -+ve Hyperbilirubinaemia 6.73mg/dl Blood sugar -271mg/dl Advise-1-usg whole abdomen spleen liver gall bladder kidneys pancrease. 2-serum lipid profile. 3-urine exam for urobilinogen. 4-stool exam.for stercobilinogen and stecobolin pigments. 5-rpt blood sugar(fasting and pp 2hrs)and Hb1AC. ERCP of pancreas detailed evalution is must.history of chronic alcholism must be investigated.
It is a case of Jaundice ask for CBC ESR Blood SUGAR HIV HbSAg LFT USG of whole ABDOMEN further treat on line of Viral infective hepatitis to look on RBS WHICH IS RAISED
Jaundice Hyperbiliribinemia Surprisingly liver enzymes are normal. ALP increased indicating obstruction. Abdominal ultrasound Viral hepatitis profile
Get liver function test Ultrasound to see gallbladder ,pancreas, spleen Blood Hb and hematological investigation Treatment as per reports
आयुर्वेद के अनुसार रोगी भ्रष्ण कामला से पीड़ित है। चिकित्सा संबंधी योग,,,,, बकरे के यकृत का पाउडर बनाकर 5 ग्राम सुबह-शाम सुखोष्ण जल से सेवन कराएं और फिर ऊपर से ताजा गिलोय का काढ़ा बनाकर पीने को दें। यह कार्य लगातार रोजना एक माह तक करें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।
Looks obstructive jaundice Look for GB stone Usg upper abd Rull out haemolytic jaundice
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