33 yr old male with epigastric pain
Patient came to casuality wih c/o epigastric pain since 2pm of 27/2/22.
Nausea and vomitings are present since 4pm yesterday.
HOPI:
Patient is a chronic alcoholic since 20yrs.
Due to issues with his wife, he is consuming alcohol since 1yr.
For the last 7days he is drinking wihout having food.
C/o epigastric pain since yesterday
Burning type, radiating to back gradually progressive.
Nausea present, vomitings present of dark black colored.
Non bilious, non projectile.
C/o Burning sensation in throat
Similar episode of binge drinking 2 eisodes in last 1yr.
K/C/O HTN since 5yrs , on medication - irregular.
N/K/C/O: DM, TB, asthma.
O/E:
Pt is C/C/C.
Afebrile.
Bp:
Pr:
Rs: BAE+
CVS: S1S2 +
CNS: NAD.
Abdomen
Provisional diagnosis: ? Acute Pancreatitis? Acute Gastritis.
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