40/f has right flank pain since 15 days with burning micturition. no fever/hematuria no h/o left loin pain hypothyroidism (TSH: 11, on eltroxin 50ugOD) xray image given how to proceed in this case? hypothyroidism management??

40 years old female with pain abdomen off and on since last 2 years She has received all possible treatment including ppi,antibiotics, Antispasmodics, Rifaximin, Prokinetics, H.P kit with only temporary relief. Ultrasonography is normal ,colonoscopy is normal, Upper G.I endoscopy shows chronic duodenitis with diffuse villous atrophy, biopsy of duodenum is inconclusive. CECT abdomen shows increased interloop fluid in right iliac fossa although appendix is normal. Expert opinion is welcomed regarding diagnosis and management

40 years female with severe pain lower abdomen with past h/O PCOD and menstrual disturbances. On Examination no surgical cause was found . A USG Abdomen is attached . Is the pain due to torsion of one of the large cysts as on both sides one of the cysts is more than 6 cms . plan of management

21 years old female, married patient came to opd with complaint of right iliac fossa pain. usg shows cystic ovary. dear colleagues please suggest further management.

35 yrs lady having severe pain in left side of abdomen&occassionally vomiting since 2 days . Plsss suggest me what should i do