الأحد، 30 نوفمبر 2008

case 11 from Tanta tropical centre

general aspect: 24 years old female is noticed to have rapidly developing diffuse abdominal distention within 20 days.on examination no jaundice ,no ll edema, no organomegally,just pallor and dullness allover the abdomen.
by investigations :

HB:10.2
prothrombin activity:92%
liver functions:billirubin D:0.2
IND:0.8
SGPT :22
SGOT :26
albumin:3.6gm
ascitic fluid :total protein 5 (normally no ascitic fluid or protein)and no RBCS, cells:50
U.S:hepatosplenomegally ,cirrhotic liver,patent portal vein
E.S.R:32,68
WHAT IS YOUR DIAGNOSIS

هناك 12 تعليقًا:

shady gad يقول...

بسم الله الرحمن الرحيم
it is acase of Budd chiari syndrome discovered later by Doppler on hepatic veins
rapidly accumulating asceites may be due to malignancy ,peritonitis and T.Bperitonitis portal thrombosis,budd chiari and veno occlusive disease ............
absence of RBCS in asceitic fluid is against TB and malignancy
presence of cirrhosis is due to chronicity of Budd chiari syndrome in hepatic veins
thank you all

dina يقول...

it is realy a goog blog
but it is still in the shadow
but soon will have it's great effect

i try to follow up here but i don't answer

thanks

shady gad يقول...

thanks for your sympathy .it made me more sad but im really working on to move from the shadow .thanks again

semsema يقول...

it is an intresting case
really i did not know it
thanx dr shady
keep in progress

dina يقول...

No
no
i didn't mean in that way
it is realy agood one
go on

غير معرف يقول...

تمام والله يا شادى

أنا بصراحة مكنتش متوقع انى ألاقى فيها كل المجهود الجبار دا

بصراحة الفكرة والمدونة والحالات عجبونى جدا

ومن هنا وجاى هبدأ أتابعك

بس استنى عليه أما أفوق وأنا هجيبلك الحل

سامح هلال

Ramy Seada يقول...

أنا قلتلك ياعم شادى السكة دى جامدة

بس بالراحة علينا فى الحالات شوية

إحنا لسه أندر

وبعدين فين الاختيارات

أنا دماغى فيها حاجات كتير

لازم تحجمنى عشان المنهج سايح

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