Lower andomen pain Loss of appetite

Female pt of age 22 Chief Complaints Lower abdomen pain Loss of appetite Vitals Bp:120/70 Spo2:98 Physical Examination Normal Investigations Hb:10.2 Esr:20 Diagnosis ??? Management ????

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Periodical problem or Spasmodic Dysmanorrhoea. Subclinical Appendicitis Abdominal Tuberculosis. Rule out the further evolution for the better treatment and management.

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R/o koch's abdomen R subclinical appendicitis

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D/D APPENDICITIS? TB ABDOMEN? FURTHER INVESTIGATION ENDOSCOPY?

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