and vomitings.

and vomitings.

- March 29, 2022

CBBLE UDHC SIMILAR CASES 

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A 28 year old male came to casuality with C/O pain abdomen since 2 days and vomitings since 2 days.

HOPI:

Patient was apparently asymptomatic 2 days ago then he developed pain in epigastric region which was colichy type, radiating to back, no aggravating and relieving factors.

2 episodes of vomitings since 2 days, non projectile, contains food, non bilious.

No h/o loose stools, constipation, fever.

No h/o trauma.

H/O ? Endoscopy 8 years ago.

N/K/C/O DM, HTN, CAD, ASTHMA.

VITALS :

TEMPERATURE - 98.1

PULSE RATE - 127 BPM

BLOOD PRESSURE - 110/70 MM OF HG 

RESPIRATORY RATE - 16

SPO2 - 95 % AT ROOM AIR

General examination:

Patient is conscious, coherent and cooperative, well oriented to time, place and person

No pallor, Ictrus, cyanosis, clubbing, lymphoadenopathy.

Systemic examination:

PER ABDOMEN : 

-Scaphoid.

-No scars.

-Tenderness in epigastrium.

-No guarding.

-Bowel sounds heard.

CARDIOVASCULAR SYSTEM : S1 AND S2 HEARD , NO MURMURS

RESPIRATORY SYSTEM : BILATERAL AIR ENTRY PRESENT, NVBS +

CENTRAL NERVOUS SYSTEM : NAD           

Investigations:

HEMOGRAM

HB 16.3

TC 17,100

PLT 3.38

MCV 82.5

PCV 46

MCH 29.2

MCHC 35.4

SMEAR - NORMOCYTIC NORMOCHROMIC

BGT- O positive

RBS- 124

RFT

Urea 50

Creatinine 0.9

S. Sodium  140

S. Potassium  3.8

S. Chloride 98

S. Amylase 124

S. Lipase 528

LFT

TB 1.38

DB 0.45

AST 36

ALT 21

ALP 117

TP 6.7

ALB 3.73

SEROLOGY: NEGATIVE

XRAY 

ULTRASOUND

ECG

29/3/22

30/3/22

DIAGNOSIS:

ACUTE PANCREATITIS SECONDARY TO GALL STONES.

TREATMENT:

1. Inj. Tramadol in 100ml NS/IV/STAT