Concluded Case

Patient known alcoholic now came with jaundice , pedal edema and decreased appetite. As a screening tool i have advised complete LFT, INR, USG abdomen and OGD scopy. Incedentally OGD shows this lind of picture in the stomach , what it could be ? Rest labs are like Hb10 ,Platlet 70000, INR 1.5, T Bili 3.2, Albumin 3.2, rest labs are normal . uSG shows mild ascites with corrhotic liver and large spleen.

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Concluded answer

CLD related to alcohol with pHTN and GAVE

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Ch liver disease, may be Alcoholic. Largespleen and Varicies sugggestive of portal hypertension ascites and pedal edema is hypoproteinemia so look for Liver failure also. Review case in Toto. Clinical examand repeat investigation accordingly.

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These are like polypoidal growths biopsy to r/o malignancy he is having hepatospleenomegaly with ascitis and bilirubininia suggesting pt is in hepatorenal failure and ogd showing polyps still need to workout

Thanx dr Mansukh Shah
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Polypoidal antral growth in a case of alcohol related cirrhosis of liver. Mostly looks like a polyp, Ca stomach less likely. Will require biopsy from the growth and accordingly plan further management.

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Polypoidal antral growth in a case of cirrhosis of liver with portal hypertension with ascietes With reactive hypoproteinaemia

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CLD related to alcohol with pHTN and GAVE

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Endoscopic image shows ca stomach.Conjugated hyperbilirubinaemia or unconjugated hyperbilirubinaemia. Conjugated means ,it is due to obstruction of hepatic duct by secondaries in calod’s lymphnode.Work up. OGD biopsy. CECT. Diognostic laparoscopy and proceed depending on the staging. Another diagnosis . If it is uncojugated hyperbilirubinaemia,Cirrhosis with portal hypertension and varices.

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Endoscopic image shows ca stomach.Conjugated hyperbilirubinaemia or unconjugated hyperbilirubinaemia. Conjugated means ,it is due to obstruction of hepatic duct by secondaries in calod’s lymphnode.Work up. OGD biopsy. CECT. Diognostic laparoscopy and proceed depending on the staging.

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Patient needs ascitic fluid analysis to calculate SAAG ,if it is wide gradient,the patient qualifies for ACLF

Cannit be nodular PHG ?
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Small eaophageal varix. With d/d in antrum 1. Gastric polyp 2. Isolated gastric varix type 2 less likely

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