Bloody diarrhoea
Chief Complaint A 70 y/o female presents with the complaint of bloody discharge and loss of appetite. History She has h/o surgery and chemotherapy for rectal colon cancer. Examination Physical examinations shows warm swelling over the right thigh along with pitting edema over the right lower leg and foot. She also had tenderness over the right lower abdomen. Investigations Lab report shows WBC 42,000 cells/μl), and CRP: 34.19 mg/dl). Treatment What do you advise?
Do CECT Abdopelvis for any mass lesion. Colonoscopy to see for any intraluminal lesion. Doppler pelvic veins and leg vein to rule out venpus thrombosis( secondary to pressure effect of mass). Start LMWH if venpus thrombosis present. Glycerine MgSO4 dressing of right leg . Review with CT Scan and colonoscopy for further management.
DVT
Cases that would interest you
- Login to View the image
35 yrs old female presented with C/o easy fatigability and loss of weight since 15days. Symptoms are insidious in onset and gradually progressive. She was treated at a local hospital for cellulitis of left leg. O/e Pallor++ PR 120/min, BP 150/100mwmhg, Spo2 60% room air, 90-94% with O2, RS: decreased breath sounds and dull note percussion on right side with crepts and rhonchi. P/a soft, diffuse tenderness+ CNS: No focal neurological deficit. All basic investigations attached. Patient was not affordable for further investigations because of financial constraints. Kindly discuss the case to R/o the cause and Rx.
Dr. Ravikanth Moka4 Likes19 Answers - Login to View the image
This is a10 yr old male c his of fever and cough 8 days.his of swelling affecting left upper and lower limb associated c pain.o/ e res distress,decreased air entry on left side c e/0 painful pitting edema of Lt upper and lower limb.joint movement restricted. left normal.CBC polymorph I nuclear leucocytosis.urine normal,renal parameters normal. dd
Dr. Mohd Izhar Jaweed1 Like15 Answers - Login to View the image
50 year old man with sudden onset severe headache from 5 days. No focal deficits. Diagnosis and management?
Dr. Pradeep Kallollimath13 Likes27 Answers - Login to View the image
23 Female Died due to snake bite poisoning - Autopsy ; Sections from Spleen for HPE
Dr. Mohit Rajpal11 Likes17 Answers - Login to View the image
45 yr old case of diabetes on metformin and well under control. came with this hyperpigmentation and occasional itching. diagnosis and treatment please
Dr. Josephine Arokia Martina4 Likes24 Answers