70 yrs female presented with c/o lower abd pain nausea and decreased appetite no h/o wt loss U

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? OVARIAN PATHOLOGY WITH.. ASCITES.. AND.. ASSOCIATED COMPLICATIONS.. NEED'S.. CTCE STUDY ABDOMEN..PELVIC..

So many etiopathologies may be there - Hepatic, Ovarian, Uterine, Renal, lower GIT, etc. TLC 23,000 indicates definite infection. Ca125 to be done. Till final diagnosis is made, antibiotics, Domperidone, Cyproheptadine (as appetiser) to be given.

Investigate Ct abdomen pelvis with contrast Lft rft Serum LDH serum amylase Cbc ESR mt History of pain which fossa pain Reffered pain colicky pain

CT with cont mod ascites with bulky ovaries Esr and amylase wnl cbs tlc 23 k procal 0.12
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SUGGESTIVE. OF MODERATE ASCITES BULKY. OVARIES LEUKOCYTOSIS RULE. OUT CARCINOMA TUBERCULOSIS

Moderate ascites with bulky ovaries ldh amylase wnl CBC tlc 23 k procal 0.12

Cronic hepatitis

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