A CASE OF 40yr OLD WITH PAIN ABDOMEN

Interns -

Dr. Sravya Kandala

Dr. Navya

Dr. Raheem

Dr. Gnanadha

Dr. Chetana

Dr. Ashfaq

Dr. Charan PGY1

Dr. Vamsi PGY1

Dr. Sushmitha PGY2

Dr. Adithya PGY3

Dr. Praneeth PGY3

Dr. Praveen Naik Ass. Prof.

Dr. RAKESH BISWAS HOD

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Here is a case I've seen:

Admission under Unit 1 on 15/02/2021

40 year old male from valigonda stone mason by occupation came to casualty with complaints of pain abdomen, vomitings and loose stools since 4 days.

Patient was apparently asymptomatic 4 days back and then he developed pain abdomen which was insidious in onset, gradually progressive initially in the epigastric region extending to right hypochondrium and umbilical region.

Went to a local RMP and got some treatment. Later that day, he had fever and symptomatic treatment was taken. Next day he had 2-3 episodes of loose stools.

Watery in consistency, non foul smelling, no mucus/blood.

Later he developed vomiting associated with food/water intake.

Non-bilious, Non- projectile - food particles as content.

No other complaints.

Not a k/c/o DM/HTN/Asthma/epilepsy/CAD/TB

Mixed diet

Appetite decreased

B&B regular

Chronic alcoholic since 20 yrs - Daily 180 ml OC.

Last drink 10 days back.

Gutka 1pack/day since 2 yrs

O/E: