GENERAL MEDICINE 10
A 50 YEAR OLD MALE PATIENT COME TO THE CHIEF COMPLAINT OF PAIN IN UPPER ABDOMEN AND Since NIGHT
50 year old male who is farmer by occupation resident of nakerekal came to OPD with cheif complaints of pain in upper part of abdomen since yesterday night and known history of alcohol intake
Which is not radiating
HoPI:
Patient was apparently asymptomatic 1 day ago then he. Developed pain in abdomen which is gradual onset known history of alcohol intake
Pain is not associated with radiation
No aggregating and reliving factor are present
No history of vomiting
No history of loose motions
PAST HISTORY
Similar complaint are present in the past 3 episode s and he daignosed with acute pancreatitis he is on same unknown medication
A know history of daibetes since 2 years. No history of epilepsy .asthama
TB .CAD.HTN
FAMILY HISTORY
No significant
PERSONAL HISTORY
Appetite normal
Mixed diet
Bowel blader movement are normal
Micturition normal
Chronic alcoholic started at 20 years of his age
Physical examination
Patient was concious coherent cooperative
No paller
No icterus
No cyanosis
No clubbing of fingers
No pedal edema
No lymphadenopathy
Dehydration mild
PR 76BPM
RR : 18
BP 120/80
GRBS: 241 mg %
Spo2 /100%
SYSTEMIC EXAMINATION
CVS:
S1 S2 are heard
No murmur
Jvp is normal
Respiratory system
No Dyspnoea
No Wheezing
Position of trachea central
Breath sounds are vesicular
No scar s .
Bilateral chest movement
ABDOMEN
On inspection :
Shape of abdomen obese
Umbilicus is central
No visible scar , pigmentation. Or enlarged vein s
On palpitation:
All the inspectory findings are confirmed
Abdomen is soft
Tender ness+ present in the umbilical region
No hepatosplenomegaly
No fluid
Hernial orifice normal
On ascultation
Bowel sounds are present
CNS
concious coherent
Higher motor functions intact
daignosis: acute pancreatitis
test are :
HBsAg Rapid
HIV1/2 rapid test
HBsAg- ELISA
Ecg
