Case of Jaundice

This patient 27 years old male reported with complaints of gastric discomfort, regurgitation etc Investigations LFTs were deranged and Bilirubin was 3.76 SGOT was 70 SGPT was 98 Usg W/A was normal Management Line of management for this case, your valuable opinion is needed Advised him for HCV RNA (Quantitative) He is already on Usibon 300 BD, PPI + Prokinetic, Syp Antacid plus Local Anaesthetic and so on, and relieved with it

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ELEVATED LEVELS OF.. SR .. BILLIRUBIN .. 3.76 .. SGOT .. 70 .. SGPT .. 98 .. AND .. HEPATITIS C ANTIBODIES .. REACTIVE .. ? JAUNDICE .. ? HEPATITIS .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. HEMOGRAM.. URINE ROUTINE.. REPEAT .. LFT .. USG..ABDOMEN ..

Tnx Dr Dinesh Gupta
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Do USG W/A, LFT, Aminotransferase/platelet ratio index (APRI) or the fibrosis-4 (FIB-4) score for evaluating hepatic fibrosis rather than other noninvasive tests that require more resources (eg, elastography, FibroTest), VIRAL PCR, CONSULT GASTROLOGIST

Thanx @Pushker Bhomia Sir Ji
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Further check up blood for Liver function test, and USG of whole abdomen. I think consult with a Gastroenterology department for the better treatment and management.

Thank you Sir@Dr. Rajendra Rai .
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Advised L F T Tab Liv 52 2 bd Syp Sorbiline 2 tsf 1/2 an hr before meals Syp Mucaine gel 2 tsf tds

YES SIR THIS PATIENT NEED PCR QUANTITATIVE THEN SHOULD START TREATMENT OF HCV ACCORDINGLY WITH 1)TAB HEPAMERZ OR SILLIVER 2)CAP EVION FOR SIX MONTH AND THEN SHOULD VISIT AGAIN TO DO THESE INVESTIGATION AGAIN TO CONFIRM THE RESPONSE OF THERAPHY

Antiviral therapy by experts All the required vaccine with Covid 19 Monitoring liver marker Psychotherapy and councelling Tab Hepamerz BD Tab Multivitamin OD Tab D 3 and Vitamin K and A

At the moment symptomatic only rpt LFT

NEEDS 1. SYMPTOMATIC TREATMENT 2. USG LFT

Tab silybon 149 mg BD Udilive 300 mg OD Syp livomyn 20 ml TDS

LFT,Bleeding parameters, USG

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