GASTROENTEROLOGY(C)

 

1) What is the most probable diagnosis in this patient?

àDifferential Diagnosis:

·         Ruptured Liver Abscess.

·         Organized collection secondary to Hollow viscous Perforation.

·         Organized Intraperitoneal Hematoma.

·         Free fluid with internal echoes in Bilateral in the Subdiaphragmatic space.

·         Grade 3 RPD of right Kidney

àThe most probably diagnosis is there is abdominal hemorrhage. This will give reasoning to the abdominal distention, and the blood which is aspirated.

 

 

2) What was the cause of her death?

àAfter leaving the hospital, the patient went to Hyderabad and underwent an emergency laparotomy surgery. The patient passed away the next day. Cause of her death can be due to complications of laparotomy surgery such as, hemorrhage (bleeding), infection, or damage to internal organs.

 

 

3) Does her NSAID abuse have something to do with her condition? How? 

àNSAID-induced renal dysfunction has a wide spectrum of negative effects, including decreased glomerular perfusion, decreased glomerular filtration rate, and acute renal failure. Chronic NSAIDs use has also been related to hepatotoxicity. While the major adverse effects of NSAIDs such as gastrointestinal mucosa injury are well known, NSAIDs have also been associated with hepatic side effects ranging from asymptomatic elevations in serum aminotransferase levels and hepatitis with jaundice to fulminant liver failure and death.

 

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