55 years old female with abdomen pain .
55 years old female patient presented with the history of pain in right upper quadrant of abdomen for last 3 years. Patient has recurrent attacks of colicky pain in right upper quadrant of abdomen of last 3 years. Initially patient had colicky pain in right upper quadrant of abdomen but for 3 months patient is having dull aching continuous pain in the same region. The pain radiates to the back of the chest and the center part of the abdomen. Patient complains of anorexia and marked weight loss for last 6 months (history of jaundice and abdominal lump is present).
On examination: On general examination survey patient had moderate pallor, jaundice, cervical lymph nodes are not palpable. Abdomen examination revealed tenderness in right hypochondriac region. Gall bladder is palpable, firm in consistency moving up and down with respiration, tender. Liver and spleen are not palpable. No other mass is palpable. No free fluid in abdomen. Normal bowel sound.
What is your diagnosis and what are the other possibilities ?
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Filed Under: Discussion
It could be Ca head of pancreas…