Concluded Case

cholelithiasis

Lady complaining of pain in abdomen and fullness comes with below sonography,now post 5 days of antibiotic treatment no pain or fullness but need help with case management.

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Concluded answer

1...For Cholethiasis:-Cholecystectomy. 2...Surgical excision is the treatment of OVARIAN DERMOID CYST. 3..Mild Hapatomegaly:- I think Needs further investigations. CBC,WIDAL, LFT,Urine routine. Meanwhile treat Symptomatically. Rx. Amlycure DS syp 10 ml bd. Ranidom plus Syp 10 ml bd. Cap.Pantop-DSR OD. Tab.Meftal Spas bd. Antibiotic if Needed.

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1...For Cholethiasis:-Cholecystectomy. 2...Surgical excision is the treatment of OVARIAN DERMOID CYST. 3..Mild Hapatomegaly:- I think Needs further investigations. CBC,WIDAL, LFT,Urine routine. Meanwhile treat Symptomatically. Rx. Amlycure DS syp 10 ml bd. Ranidom plus Syp 10 ml bd. Cap.Pantop-DSR OD. Tab.Meftal Spas bd. Antibiotic if Needed.

Tnx "Dr Shivraj Agarwal Sir"
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IT'S A..CASE OF.. MILD HEPATOMEGALY.. CHOLELITHIASIS.. LEFT OVARIAN DERMOID.. NEED'S.. SYMPTOMATIC T/T.. LIVER TONICS.. PPI.. ANTIBIOTICS.. PROBIOTICS.. KUB..STUDY..

Thank you doctor
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Usg is not conclusive Adv ct abdomen As dermoid in lt ovary is concerned and need laproscopic excision So far cholelithiasis will need cholecystectomy

Thanx dr Taimoor dr Taimoor
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hello dr..ur case presentation been very poor.ptn has multiple complaints can be seen thru sono.it doesnt look from ur case she is free from pain or fullness. so lets get into this sono report mode to understand this ptn. looks to be young patient with high obesity. 1]multiple cholelithiasis has caused her dyspeptic symptoms and signs. since stone size hasnt inflamed gb slim chances to try on medical management may help so may require further into surgical mode. 2]looks to be hydronephrosis with hydroureter urolithiasis would be required to be ruled out thru xray kub with prior bowel preparation. 3]though ovarian dermoid cyst size is less,was confused with this myometrial calcification,may had previous instrumentation surgery looks,but lets take gynaecologist opinion for it to evaluate further.gravida or para any surgery in case missing?? 4]lifestyle and diet modifications.watch for bmi.. hope it will help in understanding ur sono report to ur ptn.

Thank you doctor
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Cholelithiasis with hepatomegaly

Multiple issues. advice MRI abdo pelvis

Thank you doctor
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