Carcinoma gallbladder
Your gallbladder is a pear-shaped organ under your liver. It stores bile, a fluid made by your liver to digest fat. As your stomach and intestines digest food, your gallbladder releases bile through a tube called the common bile duct. The duct connects your gallbladder and liver to your small intestine. Cancer of the gallbladder is rare. It is more common in women and Native Americans. Symptoms include Jaundice (yellowing of the skin and whites of the eyes)Pain above the stomachFeverNausea and vomitingBloatingLumps in the abdomen It is hard to diagnose gallbladder cancer in its early stages. Sometimes doctors find it when they remove the gallbladder for another reason. But people with gallstones rarely have gallbladder cancer. Because it is often found late, it can be hard to treat gallbladder cancer. Treatment options include surgery, chemotherapy, radiation, or a combination. NIH: National Cancer Institute
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Fibroid uterus *Chief Complaints* Noticing mass per abdomen. Heavy menstrual bleeding *History* 45 year old para 2 previous 2 normal vaginal deliveries presented with history of heavy menstrual bleeding for 6 months with usage of 7-8 pads/ day and passage of clots . Also she had complaints of noticing mass in lower abdomen. Patient complaint of generalised weakness, lassitude, fatiguebility. *Vitals* Pulse 106/ min. BP 124/90 mmHg *Physical Examination* Per abdomen examination revealed uterus irregularly enlarged to 20 weeks size of Gravid uterus with multiple fibroids. Mobile from side to side. No tenderness Per vaginal examination cervix long os parous and uterus enlarged with multiple fibroids palpable *Investigations* Patient had severe anemia HB of 6 gm % she had received blood so now hb was 10 gm% Ultrasound revealed multiple fibroids indenting the endometrium *Diagnosis* Multiple fibroids in uterus *Management* Patient underwent hysterectomy. OT findings were uterus irregularly enlarged to 20 weeks size with fibroids. Bilateral fallopian tubes and ovaries normal Patient is fine post op
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Baby is having these lesions all over the body for 10 days Itching & high grade fever from last 3 days These lesions appeared Suddenly over the night in morning, mother is saying / suspecting Mosquito bite
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