Concluded Case

What are you prescribe

53 y/o female with chronic abdominal pain H/o colostomy before 4 yrs Chief Complaints Abdominal pain ,vomiting ,

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Concluded answer

A c/o malignancy CA colon undergone colostomy Ct abdomen suggest mets in liver and pancreas as well as in mesothelium It is malignant pain abdomen Post operative mx of pain Pt may be kept visiting to pain clinics where they can be well managed by anaesthetists Inj tramodol Inj stemetil Inj pentazocin or pethidine Pt may be kept on extradurals or iv ketamine under supervision of anaesthetists

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A c/o malignancy CA colon undergone colostomy Ct abdomen suggest mets in liver and pancreas as well as in mesothelium It is malignant pain abdomen Post operative mx of pain Pt may be kept visiting to pain clinics where they can be well managed by anaesthetists Inj tramodol Inj stemetil Inj pentazocin or pethidine Pt may be kept on extradurals or iv ketamine under supervision of anaesthetists

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Patients under supervision of Anaesthetic and inj Tramadol and inj stemetil and inj pethidine and 7 days under copd

Incisional hernia

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Unstable angina

Pseudo pancreatic cyst. With liver haemangioma

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