Concluded Case

RENAL CYST UTERINE FIBROID BULKY UTERUS LEFT OVARIAN CYST GB STONE

A 36 years old female patient, complaining with severe pain abdo. Chief complaints Severe pain abdo. pain at right hypochondriac region č white discharge, irregular bleeding č white discharge, sweating, dizziness, pain during urination č burning, hypotensive, including hyperthyroidism. Vital BP 80/ 60 mmHg Pulse 124bpm Chest B/L clear Abdo. distended CVS s1 & s2 P DM° Plan for cholecystectomy and hysterectomy . Please suggest other further management.

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Only hysterectomy done, and removed fibroid ovarian cyst. And patient's condition is better .

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Multiple coexisting diseases Presenting c/o pain rt hypochondrium is related to gallbladder and GB stone While discharge p/v white and at times blood mixed are certainly related to uterine pathology Pt is hypotensive as well as anaemic She needs to undergo major abdominal surgery Yes she needs 1 cholecystectomy 2 total hysterectomy with lt oopherectomy Renal calculi can be treated conservatively

Thanx dr Maqusud Ansari
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36 YEARS FEMALE PATIENT HAS LIT OF CO MORBADITY LIJE RENAL CYST 2 FIBROID UTETUS LEFT OVARIAN CYST GALL STONES THEIR IS NONPROBLEM WITH RENAL CYST OR BULKY UTERUS HOWEVER IN ONE SITTING LEPROSCOPUC SURGERY OF GALL STONES AND REMOVAL OF FIBRIOD AND LEFT OVARIAN CYST CAN BE DONE BY AN EXPETIENCED LEPROSCOPUC SURGOUN ONE TIME WITH AN GYNEACOLOGISY

Renal calculus and ovarian cyst to be treated first. CA125 is also positive to treat affected part

Thanks Dr. Maqsud Ansari, Dr. Shivraj Agrawal, Dr.Dinesh Gupta,Dr. Sandeep Ghodeker
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Renal calculi with cyst Uterine fibroid with cyst Definitely pathology in liver Biopsy HP Hystrectomy Lithotripsy

पाषाणभेद मकोय पंचांग शाहतरा कासनी बीज पुनर्नवा गिलोय वरुण छाल गोखरु छोटा प्रत्येक 8 ग्राम लेकर काढ़ा बनाकर उसमें 2 ग्राम हजरलयहुद भस्म मिलाकर सुबह खाली पेट सेवन कराएं। अशोक घृत 5 ग्राम सुबह-शाम खाने के साथ दे। अशोकारिष्ट दशमूलारिष्ट आपस में मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

ADVISABLE NEEDS. MANAGEMENT .....ON. PRIORITY. WISE.. ..... AS. PER. SYMPTOMS

Thank you doctor
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Only hysterectomy done, and removed fibroid ovarian cyst. And patient's condition is better .

Adv further evaluation. Sos cholecystectomy .

COMPLICATED CASE SIR ADVISE FOR SURGERY

Thank you doctor
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Ad cholecystectomy Hysterectomy

Thank you doctor
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