Tiêu đề OBSTRUCTIVE JAUNDICE.pptx ✅

SURGICAL CASE PRESENTATION By Dr.E.Kaviprabha final year Surgery post graduate HOD-PROF.DR.LEKSHMI NARAYANI M.S., DGO GUIDE-Prof.DR.T.SRINIVASAN M.S
60 year old lady from Erode came with complaints of Yellowish discolouration of eyes and urine for four month
History of presenting illness She was apparently well four month back then she noticed yellowish discolouration of eyes and urine ,gradual in onset,intensity of discolouration progressively increased for a period of 4 months. H/o passage of pale coloured stools present H/o itching all over the body H/o vomiting for past 1 month, 2 to 3 episodes per day, non bilious, not blood stained,contains undigested food particles which was ingested 12 hours back. H/o abdominal pain present for past 1 month,insidious in onset,dull aching type,upper abdominal pain,not related to food intake,no aggravating ,relieving factors H/o loss of appetite for past 4 months H/o loss of weight present(she noticed it by loosening of clothes) for the same duration
No h/o passage of black tarry stools No h/o heamatemesis No h/o fever with chills and rigors No h/o abdominal distension No h/o breathlessness,hemoptysis,cough No h/o headache, seizure,dizziness
Past history No h/o recurrent episodes of abdominal pain,jaundice,fever in the past she is known hypertensive since 2 years for which she is on antihypertensive medication No h/o any blood transfusion in her past