Age 50years, 1. Fatty changes in Liver, 2. Bulky Uterus with Fibroid, 3. Blood sugar 201mg/dL

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Diagnosis (according to available information):

Fibroid Uterus, Type II Diabetes Mellitus.

Further information required:

• History of menorrhagia (heavy menstrual bleeding) and dysmennorrhea (painful periods).

• Comorbid illness - hypertension, coronary artery disease, asthma or any other illness.

• Past History - any surgery in the past.

• Examination findings - per abdomen and per vaginal examination by gynaecologist.

• USG Abdomen report - to know the size of the fibroid uterus and also the fatty changes in the liver.

With respect to the above diagnosis, the treatment plan is as follows,

• Preoperative evaluation - complete hemogram, renal function test, electrolyte levels, bleeding parameters, FBS, PPBS, Lipid profile, HbA1C levels, x-ray chest, ECG.

• Obtain anesthetist and diabetologist clearance for surgery.

• If willing for surgery, control sugar levels and undergo total laparoscopic hysterectomy.

Consult a general surgeon online for further help --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon