Abdominal pain and tenderness
Female patient of age 19 comes in opd with complain of on/off abdominal pain and fever since two months Chief Complaints Fever on off Loose stool Abdominal pain whole abdomen History Married three months ago History of taking medication for same problem since two months from somewhere but condition not relief. Vitals Bp; 120/70 Pulse: 72 Physical Examination Anemia Tender abdomen Investigations Cbc:dated(12/09/2020) hb:10.2 Platelets:1.5 Esr:40 Lft: sgot/sgpt slight rise Kft: normal Temprature: 98.4 (22/09/2020) Widal: 1/80 ++. 1/160 + Usg dated(08/08/2020) Grade one fatty liver Mild gaseous distended small bowel loops seen in lower abdomen Diagnosis Widal?? Gastroenterititis?? Management Need to be discuss
Abdominal tuberculosis is the most logical diagnosis- and most Likely ileo - caecal tuberculosis. Findings in favour of ABDOMINAL TUBERCULOSIS. 1.Abdominal pain for 2 months 2.Fever 2 months 3.Abdominal tenderness 4.Anaemia , loose stools 5.ESR - 40 6.USG - shows gaseous distended small intestinal loops D/D 1.Inflammatory bowel disease like Crohn 's or ulcerative colitis 2.Irrritable bowel syndrome 3.Recurrent Typhoid fever - may be harboring organisms in gall bladder Further investigations required to arrive at a diagnosis 1.A CECT abdomen 2 Colonoscopy 3.Barium meal follow,through study
Pt having fever off and on with pain abdomen for 2 months. If it would has been due to typhoid firbtwo months Spleen would be palpable USG mild gaseous distension if small bowel Causes may be A. Tuberculous enteritis or ileo caecal tuberculosis B. Inflammatory bowel disease like crohn's disease or ulcerative colitis C irritable bowel syndrome Sigmoidoscopy and biopsy for HPE. Barium follow through.
? ENTERITIS.. BOWEL PATHOLOGY.. ? IBS .. ? ENTERIC FEVER .. ? ABDOMINAL KOCH'S..
Dear Dr. Shoaib Aslam Sir, Advice for the case. Tab. Anand Bhairav Ras 1 tds.
Tb abdomen? Get cect abdomen done for better picture
Cases that would interest you
- Login to View the image
6 year old girl, complaints of headach, abdominal pain with bloody stool and frequent constipation, fever since 20 days....CBC normal, widal normal, probable diagnosis??
Dr. Javed Mudassir1 Like56 Answers - Login to View the image
middle aged women with c/o poly artheralgia for 3to4years weakness feeling like feverish dysponea or breathlessness on exertion. also c/o frequent motions in a day for more than 6 months but not loose rather semisolid in consistency. o/e afebrile pulse 74/ mt bp120/80 non diabetic bsl f 97 pp 103 hba1c6.3% eag136 vit d 5.03 ng tft normal 3 samples of stool normal study no occult blood and insignificant. her crp is 3.83 negative and Aso titre is negative but RA F IS 86.6% urine is nad no signs of sle.open for discussion.xray chest is wnl.
Dr. Shivraj Agarwal7 Likes20 Answers - Login to View the image
A 17yrs male patient presented with pain in right ilacfossa, vomiting, fever ,taken antibiotics out side after which, pt developed bloody diarrhea, investigation showed neutrophil leukocytosis ultrasound report attached what are the differential diagnosis and what treatment u will advise
Dr. Chapparam Srinivasarao2 Likes25 Answers - Login to View the image
19 yr old female pt. comes with evening time severe nausea for 20 day then it get relieved itself after 20 days..pt also gives history of cough and fever for 7 days ..pt also gives history of pain abdomen at different locations mild in intensity..pt also gives history of weight loss...no history of blood in stools or malena ...on examination pallor is present ..abdomen examination is normal.. on USG inflammed terminal ileum is seen ..report is enclosed within
Adeel Kazmi1 Like24 Answers - Login to View the image
A 4 years old boy, complaining č severe pain abdo. with continuing vomiting. Rectal bleeding č fever č xerostomia. O/E Temperature 103° Pulse 110 bpm R/R 28 bpm Spo2 84% Chest B/L clear
Dr. Maqusud Ansari2 Likes14 Answers
2 Likes