48/m no comorbids/non alcoholic and non smoker/ suffering from abdominal pain raising to back.USG abdomen performed.It revealed grade 2 fatty liver and multiple cholelithiasis.Please suggest management

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As no gall bladder wall oedema , an elective laparoscopic cholecystectomy is indicated as a priority to prevent complications like stone slipping in CBD with resultant obstructive jaundice and also reduce the incidence of gall stone acute pancreatitis. For grade 2 fatty liver tab UDCA 300 mg B.D along with Tocotrienol for 3 months is indicated

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Grade 2 fatty liver with Cholelithiasis Exercise Weight loss Fat restrictions Tab Ursedeoxycholic Acid 300mg BD Tab Lecithin 1 gm BD Cap Evion 600mg OD Continue for 3 months Rept USG,LFT Preferably for cholelithiasis Laparoscopic Cholecystectomy is to be performed.

Thanks Dr Rajiv kr
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Differntials could be Fatty liver and hepatomegaly Biliary colick Start on T.Udiliv 300 TDS and review after 3 months for symptoms Strict diet controll for fatty liver

Simple case of gall bladder stone Cholecystectomy to be done Leparoscopic to be preferable

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It's a case of GB Stone Cholecystectomy to be done. Laparasopy is more preferable

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For fatty liver Liv 52 DS, udiliv, Avoid oily and spicy food For cholelithiasis Laproscopic Cholecystectomy

Thanks sir
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Its a grade 2 fatty liver.

Laparoscopy cholecystectomy should be done and for Fatty Liver Avoid spicy foods and give Tab Fortibile 300 one Tab bd

Operative or udiliv 300 bd2 month usg

Cholrsthesis do proper management udca 100mg bd tab meftal spasbd for psin pan d tab emset eldetvit syp duplac glucose dont do ercp chosectony unless it required

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