Concluded Case

Koch's abdomen

Male age 29yrs complaining of bloating of abdomen after food and loss of appetite, acidity feeling, no fever. on examination tenderness mild in umbilical region. no other specific family history or personal history. lost 5 kgs in 2 months. please help to diagnose and treatment for the same

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Concluded answer
Symptoms of Bloating , loss of appetite, APD , and mild tenderness in umbilical region with loss of 5 kg weight in last 2 months and USG showing mesentric lymphadenopathy favour . 1. Intestinal tuberculosis or abdominal tuberculosis. 2.Acid peptic disease with H.Pylori infection. 3.Irritable bowel syndrome. 4.Inflammatory bowel disease. 5.Malignancy Investigations are needed for evaluation 1.An upper G.I gastroduodenoscopy 2.Blood for ESR , montaux test, X- ray chest 3 A CECT abdomen 4 Stool for occult blood 5.A colonoscopy
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Symptoms of Bloating , loss of appetite, APD , and mild tenderness in umbilical region with loss of 5 kg weight in last 2 months and USG showing mesentric lymphadenopathy favour . 1. Intestinal tuberculosis or abdominal tuberculosis. 2.Acid peptic disease with H.Pylori infection. 3.Irritable bowel syndrome. 4.Inflammatory bowel disease. 5.Malignancy Investigations are needed for evaluation 1.An upper G.I gastroduodenoscopy 2.Blood for ESR , montaux test, X- ray chest 3 A CECT abdomen 4 Stool for occult blood 5.A colonoscopy
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Mesentric lymphnodes are ? Tubercular in nature Ad CBNAAT Lymph node biopsy
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Suggestive of Enlarged MLN. ?? Intestinal Tuberculosis ?? IBS ??H.pylori ?? Malignancy I think needs Further investigations CT abd CBNAAT X-Ray chest. CBC Urine exam/C/S SOS.
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These are general symptoms of Dyspepsia Usg find incidental nonspecific mesenteric lymphnodes are reactionary Correlation with loss of weight may be investigated further for koch's abdomen Treat as dyspepsia Diet modification Avoid fast junk and fry food Deworm
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will definitely require more investigation to find out the cause of the enlarged lymph nodes.haematology,colonoscopy/endoscopy and CT scan should be helpful for diagnosis.
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Symptoms are suggestive of acid peptic disease Please do upper GI endoscopy to look for ulcer disease Please do complete blood count with hemogram and stool occult blood If hemoglobin is low, upper GI scopy is normal and stool occult blood is present then lower GI scopy would be indicated
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IT'S A..CASE OF.. ? VAGUE ABDOMEN.. ? APD .. ? MESENTERIC LYMPHADENITIS.. NEED'S CLINICOPATHOLOGICAL EVALUATION IN DETAILS TO CONCLUDE DIAGNOSIS AND TREATMENT.. * HEMOGRAM ..CBNAAT.. * GI SCOPY.. COLONOSCOPY .. * CTCE STUDY..
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Most PROBABLY a case of Koch's ABDOMEN ask for CBC ESR Blood SUGAR HIV HbSAg LFT Mountux Test, STOOL for occult Blood, Endoscopy Colonoscopy
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SUGGESTIVE OF MESENTERIC LYMPHADENOPATHY... POSSIBLY... TB ... ABDOMEN/. INTESTINAL IBS MALIGNANCY
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Kochs abdomen APD Messentric lymohnodes Advise CBNAAT sputum exam COlOnoscopy Further investigation
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