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Pleural effusion, hypotension,heptomegal
1.Right side pleural effusion. 2. Thick wall GB with sludge. 3.Border line hepatomegaly. 4.Medicak renal disease. 5. Blood investigation - SGPT 159 SGOT 120 BILIRUBIN TOTAL 26.3 DIRECT 23.1 INDIRECT 3.2 TOTAL PROTIEN 6.1 ALBULIN 2.4
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Answers (1)

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Care AI Shimmer
Hi From your reports it looks like you have obstructive jaundice with intrahepatic and extra hepatic both cholestasis , this means your liver and drainage from liver is at problem ,this can be due to infections like viral hepatitis or gall stone or any tumour or growth in bile tract , other possibility as you have pleural effusion and renal parenchymal ds also is you may have pancreatitis with or without any tumour so we need to find out exact cause of this then take action accordingly
Next Steps
hospitalise and do CT abdomen and if creatinine is elevated then do MRCP or ERCP to find out cause of obstructive jaundice
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.