CHOLELITHIASIS

30yr F h/o hematemesis ,hematochezia, now came with c/o gen.weakness ,abo.distention her Hb-3.0,RBC-1.94,WBC-2500,plt-76000. Usg of abd-fatty liver ,splenomegaly,mod.ascites 16mm gall stone.. XRC-normall wht is d/d ? wht :tretment can?plz reply

A 30y/M Pt C/O Severe pain in epigastric region along with vomitting and nausea since 6 months. Not a K/C/O DM/HTN/Alcoholic/Other illness No significant family history. I would like get a opinion from u all regarding this case.

A 45 yr female pt present with c/o uncontrol dm since 1 month rt hypochondriac region back headache gen weakness recently rbs 600mg/dl bp 160/90 mmHg k/C/O type 2 dm since 15 yrs Htn since 7 yrs ckd since 1 yrs diabetic retinopathy since 2 yrs please suggestions best opinion & Rx

A male pt aged 45 years with past history of drinking alcojol and kindney stones., now complains of pain in the rt hypochondriac area and back.......usg normal except hepatic steatosis grade 2.....pt complai s of sever pain in ghat area . No fever Lab reports are wnl. Both direct and indirect bilirubin are on higher end (1.4 and 1.0 )respectively. KFT normal please know how to manage tgis case .@Dr. Sepuri Krishna Mohan

A case of cholelithiasis and fatty liver. A female pt. aged 48yrs.old M/I 8children 3 abortions means total 11 pregnancies.suffering from indigestion fullness of stomach after eating amel.after loud eructations.She fears from hospital a and doctors.she may fears from may be doctor says you are suffering with incurable diseases thses thoughts always with her.Pain left side under short ribs burning pain left breast lateral side.she desire sweets but the stomach upset.thirstless desire cold food.she cannot tolerate any type of warmth.hairs are falling.Pain in lower extremities after working in Water.Cough after sour food.P/ H pulmonary tuberculosis.only. F/H father:DM&HTN. mother HTM. Suggest me the slimum.