A 65 yr old male came to casuality with c/o diffuse chest pain and right sided abdominal pain since yesterday morning 3am C/0 vomitings since yesterday evening HOPI: pt was apparently asymptomatic 4day ago then he had on and off right sided abdominal pain gradually progressive not radiating to back not relieving on rest and pt also had 2 episodes of vomiting non bilious , non projectile , food as content . Associated with chest pain which was insidious in onset gradually progressive Squeezing type of pain . He had similar complaints 1 year ago , treated conservatively . Pt was chronic alcoholic from 10years ,daily he consumes 90ml/day Last intake of alcohol - 1 day ago No H/0 of loose stools , fever , palpitations ,constipation ,burning micturition Past history : not a k/c/o DM , HTN, Asthma, epilepsy, thyroid . O/E: Patient is conscious ,coherent and cooperative moderately built and modera...
Comments
Post a Comment