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Rajbir
Rajbir
DEPARTMENT OF HEPATOLOGY
POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH
DIAGNOSIS
Chief Complaints:
Abdominal distension x 4 month
Jaundice x 3 month
Investigations:-
DATE 08-10-18 15-10-18 22-10-18
Hb 10.8 10.5 102
Plat×103 97 76 93
TLC 5800 4400 3900
DLC 58/29/08/05
Na/K/Cl 135/4.2/105 136/4.2/102 136/3.7/106
Urea/Creatinine 20/1.14 20/0.84 18/0.77
Ca/P/Mg 7.7/3.1 7.9/3.6 8.9/3.4
T. Bil /C.Bil 2.6/0.75 2.2/0.72 3.7/1.1
AST/ALT/ALP 67/19/103 41/12/90 43/14/106
TP/Alb 6.2/2.18 6.2/3.06 7.4/4.0
PT/PTI/INR/APTT 18.7/71/1.3/48.6 22.5/59/1.54/50.6 19.8/67/1.3/50.6
Other Investigations :-
Urine RME- NAD
HBsAg (26-9-18)-NR
Anti HCV (26-9-18) – reactive
AIH (08-10-18) - Neg
HEV IgM (9-10-18)- Positive ; HAV- Neg
HbA1C (10-10-18)-5.2
TFT (08-10-18) TSH-3.51, T3-0.804, T4-6.25
(08-10-18)-24 Hr urinary- Prt-19, Cr-977, Na-6, K-14, Cl-18
Homocysteine (9-10-18) - 5.49
(09-10-18) AFP-1.5, CA-19-9-194.7, CEA-3.62
Ascitic fluid (07/10/18)- TC- No WBC; P-0.6, S-224
USG Abdomen (07-10-18) – liver-14 cm, heterogeneous. Spleen-12cm. f/s/o
chronic liver disease with portal hypertension.
Endoscopy (18-10-18) - Eso-Gd-1-2, 4 col. Vx. No RCS. Multiple post EVL scar,
2 linear ulcer seen at GE junction one of them 40 cm.
Stomach- Fundus- No GOV, severe PHG; Body-severe
PHG; antrum- erosion seen.
Duodenum- D1- jejunalisation seen, D2- seen.
ADVICE AT DISCHARGE: