A 35 Y/F CAME TO ED WITH SEVERE PAIN IN ABDOMEN (RT. HYPOCHONDRIAC REGION ),,1-2 BOUTS OF VOMOTTING AND UNESAYNESS, ,,NO HTN /dm/BA /IHD, ,NO H/O --ANY MAJOR ILLNESS, ,O/E --T-;:99'F, ,B. P --110/70 MM OF HG, ,HR -106 /MIN, ,SPO2 --98 PERCENT AT ROOM AIR, ,,,P/A --SOFT TO PALPATE, ,FINGER TENDER NESS AT RT. HYPOCHONDRIAC REGION, ,NO GUARDING, ,NO RIGIDITY, ,,UO --NORMAL, ,,BELOW R THE VALUES AND IMPRESSION OF BLOOD INVESTIGATION AND USG (A &P ),,SO DEAR FRENDS AND GENTLEMEN PLZZ HELP IN DX AND MX, ,,,REGARDS; ;DR RAJ PANDEY MISHRA

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Acute calculus cholecystitis with. pernicious anaemiaand mild hepatitis.Treat conservatively with antibiotics intravenous and intravenous fluids and analgesics I.v and I.v antacid.packed cell transfusion to correct anaemia once symptoms have started subsiding.Allow liquids P.O 30to 50 ml per hour .stop if vomiting occurs.pt should be improve in about 5 days.Surgery can be done after 10 weeks.B12 I'm will correct the anaemia.A hematologist should be consulted for anaemia. Upper G I endoscopy will be of help.Repeat CBC and liver and pancreatic enzymes after 3to 5 days to rule out pancreatitis.

Thank you doctor
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acute cholecystitis.Under antibiotic umbrella Cholecystectomy should be done..

Operated First And Give Him Any Multivitamine Or Appetiser Syrup !....

acute cholecystitis

Acute cholecystitis, advised antibiotics & after recovery cholecystectomy.

Thank you doctor
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obstruction jaundice... first treat jaundice and anemia..n iv antibiotics after al clear ..plan to surgery...

I agree
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actually cholecystitis... 1st conservative treatment-injectable antibiotics,analgesic,

after 3wks u can go for lap cholecystectomy
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iv antibiotics,analgesic,treat anaemia and jaundi've and then plan for lap cholecystectomy

acute cholecytitis with anemia . treatment for acute pain and treatment for jaundice .and anemia first.

acute cholecystitis

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