Concluded Case

ACUTE CHOLECYSTITIS Č CHOLELITHIASIS

A 70 years old female patient, complaining with severe pain abdo, pain at right hypochondriac region, nausea uncontrolled, she is IDDM patient. Chief Complaints Severe pain abdo, nausea č vomiting History NAD Vitals Temp. 100°F BP 130/ 90 mmHg Pulse 100bpm Spo2 95% Physical Examination Chest B/L clear Abdo soft CVS s1 & s2 P R/ R 18 bpm UL NAD LL NAD RBS 483 mg/ dl Investigations USG report submitted Others awaited Management Start to conservative PPI Butodol Periset If everything will be stable...think to be or plan for cholecystectomy.

3 Likes

LikeAnswersShare
Concluded answer

Uncontrolled diabetic pt a c/o cholecystitis with cholelithiasis IDDM needs to be reviewed Increase the units of regular insulin three times a day followed bsl monitoring Review OHA Once sugar is stable under control subject to laproscopic cholecystectomy

All Answers

Uncontrolled diabetic pt a c/o cholecystitis with cholelithiasis IDDM needs to be reviewed Increase the units of regular insulin three times a day followed bsl monitoring Review OHA Once sugar is stable under control subject to laproscopic cholecystectomy

Thanx dr Kute Ankush
0

View 1 other reply

? AC.. CHOLECYSTITIS..WITH.. CHOLELITHIASIS.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. SURGEONS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Ramesh Kumar Singh
0

View 1 other reply

Cholecystectomy by surgery

Cholecystitis with cholelithiasis cholecystectomy is advisable. ref to surgeon and further procedure

Cholecystectomy

Cholelthiasis ( Gall stone) Symptomatic treatment needed.. Surgery or laparoscopy needed.. to remove gall bladder..

Cholestridium card m

Diseases Related to Discussion

Cases that would interest you