29/M,single,. came with c/o of upper abdominal pain, vomiting 3 days..ch alcoholic. wt 49kg. cvs&other system-no obvious abnormality.. For ur suggestion pls..
This is a case of chronic male alcoholic with acute cholecystitis due to acute cholelithiasis and splenomegaly and hyperbilirubinemia . Treatment is 1 Stop alcohol immediately. 2 Correct dehydration by intravenous fluids. 3 Correction of electrolytes. 4 IV Antibiotics 5 IV antispamodics. 6 IV anti emetics. 7 IV PPI 8 Last and final option is either laparoscopic or open cholesytecomy.
obstructive jaundice, cholelithiasis with ALD. R / o pancreatitis. rx accordingly with lap cholecystectomy after jaundice subsided with conservative management. ..
May be alcoholic gastritis start inj .nexium 40mg iv star followed by 40 me by or tds. . sup. ranidom 0 suspension10ml tds. inj. dicyclomine 10th im
Chronic alcoholism in a 29 year old male? Young male with splenomegaly, gallstones and raised bil.( both types) Normal liver and gall bladder wall on usg abdomen. Alcoholic hepatitis can be one diagnosis but screening for hemolytic anemia and Concurrent Zieves syndrome can be looked for. No pericholecystic fluid, no neck stone, normal TLC, normal gb wall do not suggest acute cholecystitis.
Patient has spleenpmegaly.increase indirect bilirubin.cholelithiasis. Any associared hemoglobinopathy to rule out.
Please do 1.serum amylase and lipase .2MRCP to r/o pancreatic duct stricture or CBD sludge or distal cbd stricture then ready with either ercp with laparoscopic cholecystectomy or stent it and elective laparoscopic c
obstructed jaundice with?choledocholithiasis.rule out pancreatitis with serum lipase and plan mrcp if nonconclusive treat symptomatic with Iv fluid and antispasmodic antibiotic
Acute alcoholic gastrities With alcholic hepatities With choleshesis iv antiboitic emset pan eldervit cylopam inj dynapar udilive
A case of Alcoholic hepatitis. CT not showing obstruction. Treat conservative, after bilirubin normal. May be plan Lap. Chole.
Do Hepititis markers , start tab, Actibile 300 bd. if h/o fever start antimalarial,as he have spleenomegaly,daily se bili ot/pt &also do G6Pd, pt/ inr . Rest symptomatic .
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A male pt 24 yr complaing pain in right hypochondrium with liver tenderness, nausea , general weakness , abdominal fullness, anorexia, on investigation results in following plz suggest diagnosis and tmt.
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19 yr old male ,driver , complaints of yellowish discoloration of sclera , palms ,soles for 2 mnths .no H/o abdominal pain , loss of appetite ,wt loss ,discolourationof urine &stool , diarrhoea,offers no other complaints O/E .Abdomen non tender, Hepatomegaly (+), splenomegaly (+) .I have attached d investigation report .Give Ur valuable suggestions .
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A MULTIPLE CASES A 62 years male patient, complaining with pain abdo, pain at hypochondriac region also in umbilical region, nausea č vomiting, loss of appetite, jaundice, lower limb swelling with weakness. *Chief Complaints* Severe pain abdo, nausea č vomiting, haematuria, chest pain, pain at sternal region, anematic. Pleural effusion. *History* Alcoholic *Vitals* BP 150/90mmHg Pulse 110bpm R/R 20bpm Spo2 90% CVS s1 & s2 P *Physical Examination* Chest B/L ronchi Abdo. distended UL NAD LL AF Edema +++++ DM° *Investigations* Reports are submitted *Management* Conservatives management started according to the complications.
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28yr/M, k/c/o Cholelethiasis, presented with Pain Abdomen, Pain Chest, SOB. He is non DM, non Hypertensive, Serum Amylase, Lipase within Normal limits. He is having 'Jaundice'.
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