A female aged 55 years Chief Complaints Jaundice Pain RUQ (x 20 days) Fever with chills (x 5 days) Vitals BP - 96/50mmHg PR - 120/min Investigations MRCP

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Cholecystitis with cholelithiasis Adv cholecystectomy

Thanx dr Vedprakash Singh

Cholelithiasis and cholecystitis Cholecystectomy and IV fluids and antibiotics Inj Dotavarin IM After infection subsides Go for cholecystectomy

Dilated cbd sudden cutout

Cbd obstruction ,cholangitis,septic shock

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