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A 26 yr old male, resident of chityala, car driver by occupation, was presented to the casualty with chief complaints of
CHIEF COMPLAINTS:
- Abdominal pain since 5 days
- Vomitings for 5 days
the patient was apparently asymptomatic 4 months ago when he consumed alcohol regularly for a week following which he developed abdominal pain associated with vomitings.then went to a hospital where he was diagnosed with acute pancreatitis. Later he was fine and was discharged.but then he started consuming toddy regularly, 1L per day.
5 days ago, he developed pain in right epigastric and hypochondriac region of abdomen which was associated with 4-5 episodes of vomitings which was yellowish and blood was not present. The pain was of burning type, continuous, non radiating, aggravated after consuming food.
PAST HISTORY
Not k/c/o DM
not k/c/o HTN
No h/o surgeries in the past
PERSONAL HISTORY
History of alcohol consumption since 10 years
No h/o smoking
Sleep: adequate
Appetite: normal
B&B regular
Diet: mixed
No known allergies
FAMILY HISTORY
no significant family history
EXAMINATION
GENERAL EXAMINATION
Patient was conscious, coherent and co operative.
moderately built and nourished
No pallor
No cyanosis
No clubbing
No lymphadenopathy
No icterus
VITALS
BP 110/70
Pulse 78 bpm
Respiratory rate 16/min
SYSTEMIC EXAMINATION
CVS
S1 S2 Heard
No thrills
No murmurs
RESPIRATORY
no dyspnoea
No wheeze
Position of trachea central
Vesicular breath sounds heard
ABDOMEN
TENDERNESS, present- epigastric & rt hypochondriac region of abdomen
Spleen & liver non palpable
Bowel sounds heard
Acute pancreatitis
TREATMENT
23/06/22
IVF NS RL 100ml/hr
Inj. Tramadol 50mg in 100ml IN NS/ IV BD
inj. Pan 40mg IV OD
Inj Zofer 4mg IV TID
24/06/22
IVF NS RL 100ml/hr
Inj. Tramadol 1 Amp in 100ml / IV BD
inj. Pan 40mg IV OD
Inj Zofer 4mg IV TID
Tab pancreo flat PO/OD
25/7/22, 26/7/22 & 27/7/22
IVF NS RL 100ml/hr
Inj. Tramadol 50mg in 100ml / IV BD
inj. Pan 40mg IV OD
Inj Zofer 4mg IV TID
Tab pancreo flat PO/OD
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