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Abdominal tuberculosis can present with varied and nonspecific symptoms, making diagnosis challenging. Imaging and laboratory tests are also nonspecific. A high index of suspicion is needed, along with aggressive investigation. Treatment primarily involves medical therapy with antitubercular drugs, though surgery may be needed in some cases. Not all cases of intestinal obstruction in abdominal tuberculosis have a mechanical cause. The second case report describes a patient who developed a paralytic ileus from hypokalemia leading to a subacute obstruction, not requiring surgery. A diagnostic trial of antitubercular therapy is reasonable in endemic regions while also considering conservative management.
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A 55-year-old man presented with 7 months of upper abdominal pain, vomiting, loose stools, and weight loss. Imaging showed a large irregular mass in the stomach wall communicating with the transverse colon, indicative of a gastrocolic fistula. Biopsy confirmed a diagnosis of moderately differentiated adenocarcinoma of the stomach with metastases to the liver and lymph nodes. The tumor board consensus was that the patient was suitable for palliative resection and diversion procedure or feeding jejunostomy, followed by chemotherapy.
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TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
S1%20OT%207.09.dfinal final final finalocx
- 1. DEPARTMENT OF GENERAL SURGERY PROF DR T SIVAKUMAR SIR’S UNIT S1 LIST OF CASES POSTED IN NSB 1 ST FLOOR OT ON 07.09.22 S1 TABLE NO 5,6 TABLE – 5 TABLE - 6 S. N O NAME AGE/SE X IP NO DIAGNOSIS PROCEDURE PLANNED ANAESTHES IA REQUIREMENTS CMCHIS COMORB IDITY 1 MRS.TAMILSELVI 37/F 2271970 SYMPTOMATIC CHOLELITHIASIS LAPAROSCOPIC CHOLECYSTECTOMY GA LAP INSTRUMENTS CHOLE CLIPS APPROVED T2DM 2 MRS.DEEPA DEVI 45/F 2272191 NEUROFIBROMA LEFT FOOT LEFT BELOW KNEE AMPUTATION RA AMPUTATION TRAY APPROVED NEURO FIBROMA TOSIS 3 MR.VENKATESAN 35/M 2276077 PHIMOSIS CIRCUMCISION RA - - NIL S.N O NAME AGE/SE X IP NO DIAGNOSIS PROCEDURE PLANNED ANAESTHES IA REQUIREMENTS CMCHIS COMORB IDITY 1 MR.PORKATHER 40/F 2275448 PHYLLODES TUMOR LEFT BREAST EXCISION BIOPSY GA BIOPSY TRAY APPROVED OLD PTB 2 MR.THIRUNAVUKKARASU 60/M 2276621 RECURRENT EPIGASTRIC HERNIA ANATOMICAL REPAIR WITH ONLAY MESH PLASTY GA/RA ABDOMEN TRAY PROLENE MESH APPROVED HYPO THYROID ISM 3 MRS.HEMVATHY 34/F 2276194 RIGHT GLUTEAL LIPOMA EXCISION BIOPSY RA BIOPSY TRAY -