Duodenal Infiltration

A female aged 65 years Chief Complaints Jaundice (gradually progressive & a/w pruritus) Vomiting (on/off) LOA(+) LOW(+) Investigations UGIE shows following in D1

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HPE would be conclusive for any malignancy.

Thank you doctor
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Duodenal ulcer appears to be malignant

Thanx dr Pushkar ji Bhomia
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Malignancy duodenum Ad biopsy D/D malignancy gallbladder

Thank you doctor
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spider angiomas Hepatitis D

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