45 yr male report attached kindly suggest management plz complaint of pain abdomen
Looks like obstructive jaundice First ERCP THEN LAP CHOLECYSTECTOMY
ACUTE... CHOLECYSTITIS... WITH CHOLELITHIASIS JAUNDICE
infective hepatitis
Acute Cholecystitis with jaundice Amoxclav CL 625 bd. Multivitamins and antioxidants. Iv fluid , maintain nutrition hydration and hygiene. Needs further investigations and evaluation to conclude diagnosis and line of treatment.
It's a case of.. Ac.Cholecystitis..with.. Hepatocellular jaundice.. Rx.. Antibiotics as per requirements.. Symptomatic treatment.. Glucose supplement .. IV FLUIDS SOS.. Once the jaundice is recovered..plan.. For..Cholecystectomy with Surgeon's.. opinion..
Acute cholecystitis with icteru Advice S/amylase , s/lipase , HbsAg Axr Rx of udiliv 300 mg bd Tab drotin M bd Tab hepamarz 150 mg Tab silybon 70 mg od Tab pan D Tab multivit plus , antibiotic Plan for sx
Acute cholecystitis with cholelithiasis and jaundice Adv EUS with ERCP Amylase , lipase CT BT PT INR creat Conservative treatment till acute phase Subside Sx & further management as per report
GET SURGEONS OPINION FOR CHOLECYSTECTOMY;PANTAPRAZOLE ANTIBIOTICS AND URSODEOXYCHOLIC ACID AND OTHER TTS SHOULD CONTINUE.
Ac calculus cholecystitis with hepatocellular jaundice. Conservative treatment till jaundice subsides followed by cholecystectomy. Antibiotics is to be used along with other supportive treatment. PT/INR test to be done.
Acute cholecystitis leads to hyperbilurubinemia, UTI with Leucocytosis. Lap. Cholecystectomy Levoflox Cefotaxime Ursodeoxycholic acid Pantaprazole Multivitamins
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41 year old male patient asymptomatic 2days ago, then developed diffuse pain abdomen, more at epigastric region, epigastric tenderness present, and also complain pain at rt flank , no radiation, no burning micturition, no constipation, h/o vomiting present 2 episodes, no htn, no DM, chronic alcoholic, vitals are normal.. Usg abd: Rt renal calculus 4.5mm, and mild hepato megaly noted . On day 1 : Sr.Amylase 198IU/L, on day 2: sr Amylase 526 IU/L, And the treatment is as follows: Pt is under NBM 1.Inj .Monocef +sulbactum /iv/bd 2. inj . pantaprazole /iv/bd 3. inj. Buscopan /iv/sos 4.inj. 25% D /iv/bd 5 ivf. 2 units of 0.9% NS 2 units of RL 1 unit of DNS over 24 hrs. admitted on 13th May, today complaint is SOB, on auscultation lungs are clear, ECG ::. sinus tachycardia given Metaprolol 50mg, after giving metaprolol HR comes down. Wt is the cause of SOB, and cause of sudden raised sr.amylase. Help me in this case::
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