the patient got clubbing since birth and at 23 year old she started having right upper abdominal discomfort...during eating...dyspepsia like. there is presence of chronic sinusitis since birth.patient gets tired easily...on test... sometimes the bilirubin level goes high...not everytime.the right upper abdominal discomfort is mostly at night...till now ..no visible abdominal mass.
tell me the causes: stomach cancer,choledochal cyst,pulmonary problem,,,,pancreatitis,just dydpepsia?perforated ulcer...
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