63yr, female having pain abdomen at right upper quadrant since few days. sggst Dx Rx.

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Laparoscopic cholecystectomy advisable for the calculus cholecystitis.stone in left renal pelvis can be treated by pcnl.

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Agreed with Dr.Vipin B J

Thank you Dr. Neelam Sreemani
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Cholelithiasis , surgical removal after pain subside

Chronic calculus cholecystitis Adv Laparoscopic cholecystectomy There is a large stone in left renal pelvis , it will require removal by percutaneous nephrolithotomy

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Chronic calculus cholecystitis Left renal stone Hepatomegaly Lap roscopic cholycycectomy advice

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Acute cholecystitis with cholelithiasis with Lt renal calculus with diffuse fatty liver in post hysterectomy status CBC, ESR, Lipase, PTH, BSL Inj Ceftrioxone 1gm iv bd Inj Amikacin 500mg iv bd Inj Metronidazole 500mg iv 8 hourly Inj Pantaprazole 40mg iv bd Inj Drotavarin 80mg im tds Inj Diclofenac im sos After pt gets asymptomatic & acute infection is over plan for Lapcholecystectomy & Lithotrypsy/ PCNL opn

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Ad cholecystectomy Lipoma Surgery to be done

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Chronic calculus cholecystitis Adv laparoscopic removal

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Renal calculus Cholylithiasis. Suggest. Tab. Drotin M. 1. Bd Tab. Buscopan. 1 bd Tab. Cystone 1 tid Tab. Pan 40. Od.

Cholecystitis. Surgery to be advised.

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