A male with Obstructive Jaundice
A male aged 48 years Chief Complaints Gradually increasing Jaundice Pruritus and Acholic Stools Pain Abdomen radiating to back (x 20 days) Physical Examination Icterus(++) No lump palpable
Big Gall bladder calculus seen in mid of CBD Hepatic resurgence noted Gall bladder is collapsed Pt is alcoholic Obstructive jaundice D/d pancreatitis Rx stenting of CBD Cholecystectomy
NEEDS ULTRASOUND ABDOMEN L F T URINE ANALYSIS FOR URIBILINOGEN DD GALL BLADDER STONES MOST IMPORTANT STONE IN C B D E R C P PANCREATITIS HEAMOCHROMOCYTOSIS S C DESEASE
Gall stone Do lft Conjugate bilirubin alkaline phosphates raised in Obstructive jaundice Frcp ldh serum amylase
Advise-1-LFT. 2-usg of whole abdomen. Endoscopic or laproscopic removal of gall stone and common bile duct stone. Thereafter hepatoprotective therpy for liver.
Clear cut in mrcp film that patient is suffering from CBD stones. Plan ercp for stone removal if stone is not removed with ercp then plan laparoscopic exploration of CBD and stone removal along with gb removal
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A 45 yr old lady, presented with history of pain abdomen for 4 weeks and jaundice for 5 days. USG revealed gallstones and a dilated CBD. Bilirubin was 5mg%, and SGOT/SGPT 102/88. Alkaline phosphatase was 481. The patient underwent MRCP, which also revealed dilated CBD till lower end, however, no CBD stone could be seen. What could be the diagnosis? How to proceed with the case?
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hello doctors .. dis case is of my father's sister so plz help me n suggest me d management a female age 68 yrs having d c/o bloating of stomach ; weakness ,no appetite, hyperglycemic patient ... reports r uploaded... doctor had advised for operate... patient does not will to operate plzz do needful
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