Report of my papa 60 yrs m {routine checkup} h/o cigarette smoking no dm , no htn pls suggest ur opinions

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Presently no active surgical intervention. Probably no medical too as Asymptomatic to GB stone and No prostatism / significant PVR though prostatomegaly, a physiological change. General health surveillance.

GB with stone at the age of 60 may transform to malignancy
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SGPT slightly raised. May be fatty liver Prostate enlarged. Low fat diet daily walk Since there is no cholecystitis. GB stone may be left if asymptomatic. But follow up with USG may be done

conservative t/t c Hepatoprotective medicine + udc + bed rest ..for 2w. Then repeat blood test & usg ..... followed by Lap cholecystectomy c biopsy.

At present all reports r normal Do repeat every year for USG for cholelithiasis and prostate

Urine analysis Uroflowmetry If no urinary complaints, and above reports r normal then follow up the pt for prostate every 6month

PLAN FOR LAP CHOLECYSTECTOMY AND TAB SILOPROS D 1 OD FOR BPH TAB FURIC 40 MG FOR HYPERURECEMIA AND TSB/OT/PT ANS ALKALINE WILL REDUCE AFTER REMOVING THE GB AND AFTER 30 DAY START THE TREATMENTS FOR RA

Gb stone is small hence it can slip any time in cbd may get lodged at lower end. The worst complication will b pancreatitis. Hence a cholecystectomy is warranted. For BpH the calcification is uncomfortable Serum. PSA & may b TRUS is required after initial DRE

No problem. May be only watch his gallbladder. Begin a preventive medicine program.

Cholecystectomy.Give prostagard 8 mg at bed time.Alkalizer +Norflox thrice daily then twice daily.Put glycerine and xylocane together in to bladder.

Use alpha blockers like prazosin and 5alpha reductase inhibitors like finasteride for prostatomegaly

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