Patient with fever and jaundice

A 48 yo male was admitted for fever and jaundice progressing. Physical examination: pain at right subcostal area, past history was known diabetes and gallbladder stone. Suggest the Dx and Rx.

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Yes it's a case of "Obstructive Jaundice" Past H/0 Of Diabetes and GB stone. R/0 Blood Sugar level. Usg w/Abd. LFT,HbA1c,HbSAg. CBC Mean while Can use IV fluid with inj.Antibiotic inj.Pantop. inj.Mvi. Inj.Vomikind Sos.
OBSTRUCTIVE JAUNDICE NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND LINE OF TREATMENT. REGULAR EVALUATION TO CONSTANT MONITORING OF HEALTH BEFORE GOING FOR SURGICAL INTERVENTION.
Thanks Dr kute Ankush
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Past h/o gallstones developing fever and jaundice most likely obstructive jaundice due to stone lodging in cbd Usg abdomen sos ERCP Pt has comorbidies hence needs to workout in detail
Thanx dr Pushkar ji Bhomia
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SUGGESTIVE OF OBSTRUCTIVE JAUNDICE D. M CHOLECYSTITIS ADVISABLE ALL. ROUTINE INVESTIGATIONS USG
AS PER HISTORY.. IT'S A CASE OF .. ? JAUNDICE..WITH..DM.. ? CHOLECYSTITIS & GALLSTONES NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * URINE ROUTINE.. * BSR..HBA1C.. * LFT.. * USG STUDY.. MEANWHILE TREAT SYMPTOMATICALLY..
Tnx Dr Ashok Leel sir
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If gall stones are still present confirm by USG It’s a case of obstructive jaundice Ad cholecystectomy
Agreed with Dr.Ashok L
Clinically half a dozen differencial diognosis.. Apart from physical findings pl.go for other detail investigations like Liver function test... USG Abdomen..* HBA1C..* Immunoglobulins.. Only than case can be concluded authantically.
jaundice 1.kamale tu virechan 2.bhumiamla churna + kutaki chyrna + gipoy satva 2.livomap syruy 3.punarnava mandur
Obstructive juandice. Cholilthiasis Suggest. CBC. LFT. BT. CT. KFT. RBS. Usg abdomen