I have a patient, uh, who's a known case of, uh, CAD, CKD, DM, and hypertension. Uh, he came with severe upper abdomen pain. Upon, uh, investigations, he was found to have cholelithiasis with acute pancreatitis, with, uh, bilateral medical renal disease. His, uh, amylase lipase were found to be elevated, and, uh, urea creatinine were found to be elevated. Uh, after stabilizing the patient, uh, uh, lap cholecystectomy has been planned. But, uh, uh, on the day of surgery, when anesthetist took urine ketone, it, uh, found to be positive, and, uh, plasma acetone also positive. So, um, okay, plan differed, and it has been postponed. Uh, now the plasma acetone is 1.5. Uh, uh, acute pancreatitis has settled. Uh, patient is not, uh, uh, having any pain or, uh, dyspepsia complaints as of now. But patient wants, uh, lap cholecystectomy the same sitting. How to proceed with this patient?

Your credits are exhausted. You can purchase a top-up or subscribe to a plan to continue using Orris. If you're already subscribed, your daily credits will reset tomorrow.
This is a shared conversation. Sign in to Orris to start your own chat.