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Question

12 yr girlwent to matheran in jan2006 and from then she has started losing wt.she lost 10kgs wt over 6mths. she presented 7yesterday with persistent vomiting and symptoms of abdoninal obstn.settling on medication. invtgn-cbc-hb 10.4gm%,tlc 8400(p-78,l21),band forms seen.platelets adequate. Any suggestive diagnosis

Answer

Rule out subacute intestinal obstruction and abdominal TB or malignancy
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