GB - Thick biliary sludge, pain abdomen not settled by Diclofenac 75, Next oral analgesic of choice?

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Ercp is ideal for sludge It may be calculus Differential cholecystitis Fortwin or morphine with ciplox

Inj piroxicam Inj tromodol

Thanx dr Pranab Bera
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Tablet paracetamol! - it is potent analgesic! Pantoprazole! - pain can be because of acid peptic disease

Injection TRAMADOL + Injection NS 100 ml iv slowly

Ultrasound to be done Pantoprazole with domperidon to be given Piroxicam as analgesic can be given

I am agree with@Dr. Shivraj Agarwal Sir, And@Dr. Ramesh Kumar Singh Sir.

Thanx dr
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Inj Tramadol with Rabeperazole -DM

Inj Nobelspas Inj Amykacin 500 Tab. Kitpil TDS Tab Drotikind M TDS Hepakind 150 OD Cefakind 250 cv BD

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