A young male with Massive UGI Bleed
A young male aged 25 years p/w Chief Complaints 4-5 episodes of Massive Hemetemesis with accompanying Malaena History Non alcoholic No Jaundice No hepatosplenomegaly No Analgesic intake Investigations UGIE revealed blood in all of stomach and on retroflexion, this finding surprised us.... Management Discuss the characteristic finding and treatment
Bunch of grape appearance due to gastic varices. If no features s/o liver disease, then the differentials will be EHPVO or NCPF which which require a HP Doppler study initially and then to investigate accordingly.
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kindly comment for this kid who is sick since last one month. reports are written ....i will let u know clinical progress.. thank u
Dr. Minesh Bhikadiya0 Like6 Answers - Login to View the image
Patient known alcoholic now came with jaundice , pedal edema and decreased appetite. As a screening tool i have advised complete LFT, INR, USG abdomen and OGD scopy. Incedentally OGD shows this lind of picture in the stomach , what it could be ? Rest labs are like Hb10 ,Platlet 70000, INR 1.5, T Bili 3.2, Albumin 3.2, rest labs are normal . uSG shows mild ascites with corrhotic liver and large spleen.
Dr. Uday Sanglodkar5 Likes26 Answers - Login to View the image
52/female brought to casualty in drowsy state with c/o progressively increasing jaundice since 2 months for which they were taking some ayurvedic medicines from a quack. pt is non alcoholic, no h/o blood transfusion, fever, no h/o significant weight loss. o/e- drowsy, pulse- 110/min, BP- 90/60. spo2 98% on air. icterus, pallor and pedal edema present. P/A- liver palpable 4 cms and free fluid present. within 1 hour of admission she started with profuse malena and hematemesis. Ix showed Hb (6.8), TLC (10,300), Plt (4.17L), Total Bil (18), direct (10) indirect (8), OT/PT (265/121), Albumin (3.5),Globulin (3.1), serum ammonia 250, HBSAg, HCV negative, INR (1.8), Urea (46), creat (1.9), Na (145), K (2.9). Diagnostic Ascitic tap was done and report attached (ADA and cytology awaited). USG and CT abdomen attached. could it be malignancy? can obstructive jaundice present directly at this terminal stage? patient had no h/o abdominal pains before and had no h/o gall stones. Budd Chiari?
Dr. Naved Memon6 Likes16 Answers - Login to View the image
19 yr old male ,driver , complaints of yellowish discoloration of sclera , palms ,soles for 2 mnths .no H/o abdominal pain , loss of appetite ,wt loss ,discolourationof urine &stool , diarrhoea,offers no other complaints O/E .Abdomen non tender, Hepatomegaly (+), splenomegaly (+) .I have attached d investigation report .Give Ur valuable suggestions .
Madhan Kumar0 Like20 Answers - Login to View the image
twenty days neonate present with jaundice abdominal distension reports are attached. further management and diagnosis
Dr. Rajeev Gupta0 Like22 Answers