Author Archive for bibek

Upper Gastrointestinal Bleeding

Upper Gastrointestinal Bleeding

A 47-year-old man with a history of alcohol-induced chronic pancreatitis presents to the emergency department (ED) complaining of a constellation of symptoms, including lightheadedness, fatigue, vague abdominal discomfort, and profuse hematochezia. The patient states that he has been intermittently having loose, “dark-colored” stools over the past 2 weeks. He was previously discharged from the hospital [...]

liver cirrhosis

A  65 years old man came to out patient department  complaining of  abdominal distension and pain at right hypochondriac  region .  On examination spleen was palpable 2 cm below the left costal margin , skin was flushed , tachycardia and  low blood pressure (90/60). After further examination he was diagnosed as liver cirrhosis but the [...]

Recurrent Abdominal Pain With Abdominal Distention

Recurrent Abdominal Pain With Abdominal Distention

A 70-year-old woman presents to the emergency department (ED) with progressive abdominal pain (this is her second presentation; she recently presented to the ED with similar complaints). Over the last few years, she has experienced multiple short periods of abdominal pain that always resolve spontaneously a few hours after taking over-the-counter analgesics or with the [...]

ursodeoxycholic acid ……

ursodeoxycholic acid ……

what is the mechanism of ursodeoxycholic acid in dissolution of bile stone??