A 38 years male complaints of abdomen pain






 TThishis is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent

Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs

A 38yr old male resident of chityala,bore well worker by occupation came to our hospital with complaints of stomach pain and vomiting since 3 days                                                        ...                                                                      HISTORY OF PRESENT ILLNESS 


Patient was apparently asymptomatic 1years back


As per the patient he suffered from episodes of stomach pain occasionally but it does not affect his daily route 6 months back he suffered with severe 

stomach pain and consulted doctor in nalgonda and given a medication for 1 month  and three days bach he suffered with stomach pain and shoulder pain and vomitings and adimitted in hospital   ,he is suffering from left shoulder pain since 3 days 

Past history

No history of hypertension diabetes epilepsy and tuberculosis


PERSONAL HISTORY 

He has mixed duet

Bowel and bladder movements-normal

Adequate sleep since 3 days with inadequate sleep due to pain, patient was alcoholic since 8 years,he has history of chewing pan 2 years back

FAMILY HISTORY 

No relevant family history

GENERAL EXAMINATION 

Patient was conscious,coherent and cooperative 

Moderately built 

No pallor

No cyanosis 

Clubbing-present

No generalized lymphadenopathy 


VITALS : 

Temperature-98.6°F

Respiratory rate-18cycles/min

Pulse rate-75beats/min

BP-120/80mm Hg

SYSTEMIC EXAMINATION 

CVS :

 S1 S2 heard

RESPIRATORY SYSTEM : 

Bae present,no abnormalities 

CNS :

No focal neurological deficits

PROVISIONAL DIAGNOSIS :acute pancreatitis

INVESTIGATIONS :











Clinical images



Treatment 
Inj Pan 40mg IV /OD
Inj Tramadol lamp in 100ml Ns /OD
Inj Zofer 4mg IV 
Inj thiamine lamp in 100ml /OD

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