Abdominal pain Weakness Loss of weight Lack of appetite
Female pt of age 35 Chief Complaints Loss of appetite Weight loss Abdominal tenderness right upper quadrant On off fever History History of icterus and widal positive 8 months ago Vitals Bp:130/90 Pulse :88 Temp:Afebrile Spo२97 Pallor+ Anemic:+ Investigations Cbc: esr:62 Hb:10 Montoux:neg Mild liver enlarge Funtional cysts over rt ovary Diagnosis Icterus?? Koch?? GE?? Management I advice Ct andomen Montoux Lft/kft What to do with this??? I need some discussion points
POSSIBLY LIVER / PANCREATIC ..... PATHOLOGY.... AND DRUG. INDUCED ANEMIA.. NEEDS CT. SCAN
Its a typical charcoat's triad - Fever, Jaundice and Abdominal pain RUQ Get an LFT with GGT done, USG - W/A, if inconclusive then CECT Abdomen
Ictsrus Koch's Abdomen Adv CBC blood culture and sensitivity. Urine for bile salt pigment. Widal test and MP S bilirubin. Till reports complied. Symptomatic treatment. Plenty of neutrinos fluid and correction of electrolytes.
Ad s bilirubin Urine for bile salts & pigments C B C Blood Culture Stool for ova & cysts P B F for anemia & M P
Cases that would interest you
- Login to View the image
36 year old female patient admitted in hospital on 3/6/17 with complaints of vomiting pain abdomen USG is enclosed Doctor advised for surgical management Patients relative came with this report for second opinion. Asked me is it possible to cure this case with conservative management?? Patient is poor, Unable to arrange money for surgery. Please share your valuable opinion on this case, Should I take this case or not?? I know prognosis is poor, and surgical management is best option right now......
Dr. Hemant Adhikari5 Likes31 Answers - Login to View the image
45 yr male report attached kindly suggest management plz complaint of pain abdomen
Dr. Mohd Shamim0 Like17 Answers - Login to View the image
29/M,single,. came with c/o of upper abdominal pain, vomiting 3 days..ch alcoholic. wt 49kg. cvs&other system-no obvious abnormality.. For ur suggestion pls..
Dr. Sivanesan Ramayan5 Likes17 Answers - Login to View the image
A 30y/M Pt C/O Severe pain in epigastric region along with vomitting and nausea since 6 months. Not a K/C/O DM/HTN/Alcoholic/Other illness No significant family history. I would like get a opinion from u all regarding this case.
Dr. Mahananda .3 Likes22 Answers - Login to View the image
A 35 Y/F CAME TO ED WITH SEVERE PAIN IN ABDOMEN (RT. HYPOCHONDRIAC REGION ),,1-2 BOUTS OF VOMOTTING AND UNESAYNESS, ,,NO HTN /dm/BA /IHD, ,NO H/O --ANY MAJOR ILLNESS, ,O/E --T-;:99'F, ,B. P --110/70 MM OF HG, ,HR -106 /MIN, ,SPO2 --98 PERCENT AT ROOM AIR, ,,,P/A --SOFT TO PALPATE, ,FINGER TENDER NESS AT RT. HYPOCHONDRIAC REGION, ,NO GUARDING, ,NO RIGIDITY, ,,UO --NORMAL, ,,BELOW R THE VALUES AND IMPRESSION OF BLOOD INVESTIGATION AND USG (A &P ),,SO DEAR FRENDS AND GENTLEMEN PLZZ HELP IN DX AND MX, ,,,REGARDS; ;DR RAJ PANDEY MISHRA
Dr. Raj Pandey Mishra9 Likes31 Answers
2 Likes