School going Fe child brought by father with H/o Pain abdomen for 3mns and became severe and radiating to back for past 3 days and occ. vomitings . Immediate USS Abdomen shows this image. Diagnosis, cause and management.
GB stone + pain = surgery (cholecystectomy) Wall thickness is normal + no fever = no cholecystitis GB stone+ no pain = no urgency for surgery Courses- Hemolytic anemia- sickle cell trait, autoimmune diseases..... Sometimes GB cyst also look like this only, GB stone always causes shadow effect on USG , here that shadow is not clearly visible.
Gb calculus with colic cholicystities to be rule out clinicaly if tenderness garding in rhc cbc to see increase total wbc and pericholicystic collection gb wall thickness in this case recurrent gb colic is the indication of surgery now a day lap choly
acute on chronic cholecystitis with cholelithiasis, treat acute phase with inj ceftrioxone,metrogyl and antispasmodic and pain killers as tramadol or diclofenac with ppi.after pain subsided pt may prepare for lap cholecysrectomy.
Gall stone with cholecystitis, advised cholecystectomy under antibiotic cover.
Choielithasis adv cholecystectomy
solitary gall bladder stone
Cholelisthiasis
cholelithiasis. The child should be investigated for hamolytic anaemia.
Suggestive of calculus cholycystitis.
single stone in GB, cholelithiasis. but single stone does not cause so much pain.
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A 35 Y/F CAME TO ED WITH SEVERE PAIN IN ABDOMEN (RT. HYPOCHONDRIAC REGION ),,1-2 BOUTS OF VOMOTTING AND UNESAYNESS, ,,NO HTN /dm/BA /IHD, ,NO H/O --ANY MAJOR ILLNESS, ,O/E --T-;:99'F, ,B. P --110/70 MM OF HG, ,HR -106 /MIN, ,SPO2 --98 PERCENT AT ROOM AIR, ,,,P/A --SOFT TO PALPATE, ,FINGER TENDER NESS AT RT. HYPOCHONDRIAC REGION, ,NO GUARDING, ,NO RIGIDITY, ,,UO --NORMAL, ,,BELOW R THE VALUES AND IMPRESSION OF BLOOD INVESTIGATION AND USG (A &P ),,SO DEAR FRENDS AND GENTLEMEN PLZZ HELP IN DX AND MX, ,,,REGARDS; ;DR RAJ PANDEY MISHRA
Dr. Raj Pandey Mishra7 Likes25 Answers - Login to View the image
A 46 years old female patient, complaining with pain abdo. RUQ pain also also at supra pubic region, nausea č vomiting, high grade fever č irregular unwanted bleeding, anematic, cacageusia, The pain occurred every 5 to 10 minutes. She is distressed and restless by pain. O/E BP 90 / 60mmHg Pulse 114bpm CVS s1 & s2 P Abdo. Distended Chest B/L clear Edema Temp. 101°F WBC increased 18000 Hb% 6.7, ESR 70 Billirubin 3.8 USG report is submitted hear. Other conservative management are going on BT started. After normalize the situation....we plan for both lap cholecystectomy and open hysterectomy.
Dr. Maqusud Ansari7 Likes14 Answers - Login to View the image
6 year old male child having GB stone measuring 13.2 mm,t/t will be-
Dr. G D Maurya3 Likes13 Answers - Login to View the image
29/M,single,. came with c/o of upper abdominal pain, vomiting 3 days..ch alcoholic. wt 49kg. cvs&other system-no obvious abnormality.. For ur suggestion pls..
Dr. Sivanesan Ramayan3 Likes12 Answers - Login to View the image
A 19 years old female patient came complain with pain abdomen with nausea with vomiting pain at right hypochondriac region patient is very weak what is the management?
Dr. Maqusud Ansari4 Likes11 Answers
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