Concluded Case

Acute Calculous Cholecystitis

50F with pain RUQ since 1 week.

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A case of acute cholecytitis with cholelithiasis with grade 3 fatty liver To be treated conservatively Symptoms suggested not acute one as for last 7 days Liqid or semi solid diet non spicy non fatty Antibiotic parenteral form broad spectrum Tab pantocid DSR one cap daily before meals Antispasmodic parenteral form If not relieved Iv drop to continue to main nutrition and hydration After the symtomps relieved Cholecystectomy may be planned after 4-6 wks For fatty change liver Liver supportive Tab UDILIV 300 one tab bd to continue.
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A case of acute cholecytitis with cholelithiasis with grade 3 fatty liver To be treated conservatively Symptoms suggested not acute one as for last 7 days Liqid or semi solid diet non spicy non fatty Antibiotic parenteral form broad spectrum Tab pantocid DSR one cap daily before meals Antispasmodic parenteral form If not relieved Iv drop to continue to main nutrition and hydration After the symtomps relieved Cholecystectomy may be planned after 4-6 wks For fatty change liver Liver supportive Tab UDILIV 300 one tab bd to continue.
Acute cholecystitis with cholelithiasis with grade 3 fatty liver. Treatment is conservative with semisild oral bland food , oral antibiotics tab cefuroxime 500 mg B.D for 7 days . A PPI , enzyme preparation. An elective laparoscopic cholecystectomy after 6 weeks. For grade 3 fatty liver tab UDCA 300 mg B.D and vitamin E- tocotrienol O.D for 3 months
A case of cholelithiasis and cholecystitis with hepatomegaly , treatment with antibiotics, analgesic,udiliv and then cholecystectomy
SUGGESTIVE OF ACUTE CHOLECYSTITIS HEPATOMEGALY FATTY. LIVER CHOLELITHIASIS
If recurring, then go for cholecystectomy
Cholecystitis Advise Cholecystectomy
Cholecystectomy adviced
Cholelithiasis