3rd gravida with pain in rt iliac region vomiting TLC 15500 hb 12

Rt ovarian cyst with anc 3 mnth

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It is small ovarian cyst unlikely symptomatic Symptoms suggested are like due to appendicitis Treat conservatively Iv fluid Inj Ceftriaxozone Inj diclofenac Inj ondestron Inj pantaprazole Rest symptomatic Use pantaprazole and ondestron minimum periods

Inj diclofenac is unsafe during pregnancy
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3RD GRAVIDA PAIN IN R ILIAC FOSSA VOMITING TLC 155OO HB 12 R OVARIAN CYST ADVISED ULTRASOUND ABDOMEN TO RULE OUT TORSION OF R OVARIAN CYST A APPENDICITIS

Pain can be of torsion / appendicitis/ to rule out USG whole abdomen... In the mean time Tab odn Tab Tramadol Tab pantop If nt relieved u can switch on to I/v also Evaluate then go accordingly For cyst if it is nt increasing with pregnancy and asymptomatic then u need nt have to worry.. Otherwise with experienced surgical team it can be removed ..discussing complication.

Thank you doctor
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Surgical if torsion / twisted Otherwise nothing to do

Thanks Dr. Shivraj Agrawal, Dr.Dinesh Gupta
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SINCE ..... LEUKOCYTOSIS... SO... POSSIBLY SECONDARY. TO... .... RT. INFECTED. CYST... NEEDS CONSERVATIVE. MANAGEMENT

Only watch till delivery if no complication

Cefakind 250 bd Inj amykacin 500 Doxinate bd Meftalspas SOS

Conservative or surgical treatment??

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