Concluded Case

distention, constipation, mild tenderness, no vomiting, Kochs chest ptn plz interpretate X-ray abdomen

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Concluded answer

X ray abdomen shows, mildly distended colonic loops in periphery of abdomen suggestive of loaded colon This suggest that decreased motility of colon is the cause of constipation Colonic stimulating agent such as Itopride or Prucalopride may help relieve constipation There are few radiodense opacities seen in lower abdomen, they look like artefact

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Sub acute intestinal obstruction. Conservative treatment will relieve obstruction. Opacities seen in pelvis are hooks of pants and not faecoliths or calculus. Itopride and proctoclyss enema will help

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Subacute intestinal obstruction possibly IC tuberculosis. Artefacts pant hook and chain seen in pelvis.

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X ray abdomen shows, mildly distended colonic loops in periphery of abdomen suggestive of loaded colon This suggest that decreased motility of colon is the cause of constipation Colonic stimulating agent such as Itopride or Prucalopride may help relieve constipation There are few radiodense opacities seen in lower abdomen, they look like artefact

Thank you doctor
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Multiple air fluid levels with dilated intestinal loops suggestive of SAIO. (most likely sequence of intestinal TB) few artifacts are seen in pelvic area. Ad- USG whole ab pelvis,,, Routine investigations -Conservative management with IV fluids,, broad spectrum antibiotics,, IV levosulpride,, PC enema

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Multiple air fluid levels, SUBACUTE INTESTINAL OBSTRUCTION 3 radio opaque shadows seen in pelvis GASTROINTESTINAL TB WITH CALCIFIC LYMPH NODES

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Abdomen is loaded due to sub acute intestial obstrucion because of abdominal tubercuolsis

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One vesical calculus near pubic symphysis ie vesical calculus confirm by usg abdomen Other two opacities seems to be fecolith

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SUB. ACUTE INTESTINAL OBSTRUCTION MAYBE... INTESTINAL. TB ADVISABLE.... USG.... . WHOLE. ABDOMEN

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Paralytic ileus auscultation dd tb Subacute obstruction

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