ANAL FISSURE

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Essentials of Diagnosis:- Acute pain during and after defecation. Bright red blood with stool. Tendency for constipation due to fear of pain. Treatment:--Mineral oil and stool softners daily. Mild laxative- Syp Cremaffin 2-3 tea spoon

AMOEBIASIS

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Intestinal Amoebiasis Essentials of Diagnosis:- • Frequent passage of loose offensive stool, often mixed with blood and mucus.• Abdominal cramps.• Gaseous distention, vague abdominal pain oftenwith insomnia and depression.• A sensation of incomplete clearance of

ALCOHOLIC HEPATITIS

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Essentials of Diagnosis:- • Anorexia, nausea, abdominal discomfort in a patient after a recent period of heavy drinking.• Tender hepatomegaly and often jaundice.• Fever, splenomegaly, ascites, encephalopathy, abdo- minal pain and tenderness when present, further

ACUTE PANCREATITIS

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Essentials of Diagnosis:- • Sudden, severe epigastric pain with radiation to back in an alcoholic or in those with known biliary disease.• Fainting attacks, sweating, vomiting.• Fever, leucocytosis, paralytic ileus in some patients.• Elevated serum

ACUTE ORGANIC SMALL BOWEL OBSTRUCTION

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ACUTE ORGANIC SMALL BOWEL OBSTRUCTIONEssentials of Diagnosis• Colicky abdominal pain, vomiting, constipation borborygmus.• Tender distended abdomen.• Audible peristalsis.• X-ray evidence of gas or multiple gas and fluid levels without movement of gas. • Little or

ACUTE MESENTERIC LYMPHADENITIS

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Essentials of Diagnosis • Acute pain around umbilicus or right iliac fossa in a child.• Anorexia, nausea, vomiting, fever.• Tenderness in right iliac fossa without any signs ofperitoneal irritation.• Marked leucocytosis.• History of recent or

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