Professional Documents
Culture Documents
Shaf3y
G.I.T. 2013 26 15
case Liver << case jaundice jaundice shrunken liver cirrhosis disturbed conscious level liver hepatic encephalopathy rigidity tenderness abdominal pain spontaneous bacterial peritonitis
rigidity
case Male 40 years old, presented to ER by confusion Examination revealed BP: 140 / 60 heart rate : 80 GCS: 7 / 15 With no evidence of lateralization Jaundice jaundice 15 7 << GCS disturbed level of consciousness Hepatic encephalopathy Abdominal distention, tenderness and rigidity spontaneous bacterial peritonitis Shrunken liver What is the provisional diagnosis this is a case of liver cell failure Complicated by hepatic encephalopathy And spontaneous bacterial peritonitis required to confirm your diagnosis investigations Liver function test hepatic encephalopathy Investigations spontaneous bacterial peritonitis Investigations G.I.T.
Liver function test hepatic encephalopathy investigations spontaneous bacterial peritonitis investigations What are the line of treatment in this patient Liver cell failure treatment hepatic encephalopathy treatment
Page |
Liver cell failure treatment Just enumeration Without above see before
hepatic encephalopathy
After admission by one day, developed severe hematemesis and melena What the cause of such a case esophageal varices peptic ulcer gastric ulcer Is common liver cell failure Liver liver cell failure hematemesis varices
gastrin
Approach to a patient presenting by haematemesis portal hypertension causes this may be Esophageal varices 1 Peptic ulcer 2
Page |
hemolytic dark on standing Pain in the right hypochondrium Examination revealed enlarged tender liver He notices anorexia toward cigarette smoking What is your provisional diagnosis A case of acute hepatitis What are the investigations acute hepatitis Investigations Mention how the diagnosis may affect the diet of such a patient diet manifestations of liver cell failure Unless
Enumerate the complications of such a disease hepatic extra hepatic acute and chronic hepatic Enumerate the causes of enlarged tender liver Malignant, congestive, infective Female 45 years, presenting by jaundice since one month, which is progressive in nature She also complains of diminution of her vision especially at night night blindness With severe backache and rash Her stool is bulky and offensive She gives history of severe itching since two years jaundice itching Examination revealed swelling in the neck and clubbing
Page |
electrolytes endocrine
Page |
case
liver cell failure Complicated by spontaneous bacterial peritonitis hepato-renal syndrome What are causes of renal impairment in such hepatic patient renal impairment hepato-renal syndrome
glomerulonephritis
Hepatitis
Neomycin hepatic encephalopathy What are the causes of refractory ascites T.B. Malignant Hyponateremia Severe hypoalbuminemia End stage liver disease Spontaneous bacterial peritonitis
Female 33 years old, presenting by severe diarrhea more than 2 months Not responding to anti diarrheal agents She mentioned that the stool is bulky, offensive and greasy examination revealed dermatitis herpetiformis Coeliac disease
Page |
Male 40 years old, presenting to ER by haematemesis Examination revealed blood pressure 90 / 60 Heart rate : 120 GCS : 7 / 15 With no evidence of lateralization
Female 50 years old, presenting by recurrent attacks of bloody diarrhea And abdominal colic Examination revealed tenderness in the right iliac fossa With anal fissure She gives history of renal colic Since six months Which is thought to be renal stones Examination revealed << SGOT and SGPT alkaline phosphatase X ray shows diffuse reticulation What is your provisional diagnosis This is a case of Crohns disease Complicated by oxlate stones extra hepatic manifestations auto immune hepatitis sclerosing cholangitis alkaline phosphatase interstitial lung fibrosis X ray hepatitis SGPT SGOT Sclerosing cholangitis alkaline phosphatase
Page |
leak
albumin
systemic inflammation
. Male 65 years old, presenting by jaundice pale stool dark urine severe itching 8 << Total bilirubin 6 << Direct
<< MRCP Obstruction of main bile duct What are the most possible diagnosis of such a case cancer
Male patient 55 years old, Chronic liver disease Secondary to hepatitis B Recently he started to deteriorate with progressive and jaundice Investigations 12 bilirubin 18 What is your provisional diagnosis Hepatocellular carcinoma para malignant syndrome polycythemia
G.I.T. 28 2013 26
Page |
www.facebook.com/dr.tafreegh
Page |