Concluded Case

Renal calculi with splenic Granuloma

Lady aged 63yrs complaining of on and off abdomen pain,not done any blood investigation just sonography, attaching the same please diagnose and help with treatment.@

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Concluded answer

Fatty liver can produce abdominal pain, because if fat indigestion . Renal calculi are unlikely to produce pain abdomen, unless there are ureteric stones, not seen in the USG . Calcified splenic granuloma has to be investigated. ? Old TB, ? Old splenic infarct . Needs RFT,LFT, URINE , CE CT abdomen At this age ,ischemic gut causing pain, is DD.

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Fatty liver can produce abdominal pain, because if fat indigestion . Renal calculi are unlikely to produce pain abdomen, unless there are ureteric stones, not seen in the USG . Calcified splenic granuloma has to be investigated. ? Old TB, ? Old splenic infarct . Needs RFT,LFT, URINE , CE CT abdomen At this age ,ischemic gut causing pain, is DD.

Mild fatty liver do hida scan to r/0 nash calcification of splenic granuloma core biopsy HP cause may be histoplasmosis dd tuberculous dd candidiasis dd sickle cell renal calculi lasilactone 1/2od sy protrate mb6 10 ml tds cystone tds

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IT'S A..CASE OF.. ? BL.. RENAL CALCULI.. WITH..FATTY LIVER.. NEED'S.. HYDROTHERAPY.. SYMPTOMATIC T/T.. INVESTIGATIONS..SOS.. BLOOD CBC.. URINE ROUTINE.. KFT..

Sir anything to be done for calcification of spleen part.
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ADVISABLE. . FOR.. CALCIFICATION. /. SPLEENIC GRANULOMA.. ...RULE. OUT....THE. ETIOLOGICAL. FACTORS.... .. THROUGH.. HPE BIOPSY INVESTIGATIONS.

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Nothing significant in usg.. Give symptomatic management.. Will need further workup is symptoms persist.

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SUGGESTIVE OF MILD. FATTY LIVER RENAL. CALCULI SPLENIC. GRANULOMA

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Investigations regarding parathyroid to be done

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Get cbc & urine routine & culture sos

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Thanks

Cap.uremax 0.4mg once in a day for 10 days Syp.ciitralka 10ml bd fir 20days

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