A 32year old male came with chief complaints of pain in the abdomen and vomiting
A 32year old male truck driver by occupation came to causality with chief complaints of pain in the abdomen and vomiting since one day.
HISTORY OF PRESENT ILLNESS:
the patient was apparantely asymptomatic one day back then he ate food that was prepared on the same day, then he developed pain in the abdomen around the umblicus,which is squeezing type of pain, gradually progressive with no aggravating and relieving factors.
Then he developed vomiting of two episodes which is projectile in nature, non foul smelling, white in colour.
Associated with shortness of breath grade4
HISTORY OF PAST ILLNESS :
The patient had a similar complaints 4yrs back then he admitted in sunshine hospital for which he took treatment.
He is not a known case of diabetes mellitus, hypertension, epilepsy, asthama
PERSONAL HISTORY :
Patient takes a mixed diet
Decrease in appetite
Weight loss
Adequate sleep
Decreased bowel movements
Bladder movements are normal
Addictions :Patient consumed alcohol for 10 years back and he decreased the intensity of drinking on diagnosis of acute pancreatitis.
FAMILY HISTORY :insignificant
DRUG HISTORY :he is being treated 4 years back for the similar complaints.
SURGICAL HISTORY :none
ON EXAMINATION :
The patient was examined in a well illuminated room after taking informed consent.
Patient is conscious, coherent and cooperative well oriented to time place and person.
No icterus
No clubbing
No pallor
No koilonychia
No lymphedenopathy
No edema
Vitals :
PR:80bpm
RR:14cpm
BP:140/90mmhg
Spo2:98% at room temperature
SYSTEMIC EXAMINATION :
CVS:S1, S2+
RS:BAE+
PA:Tenderness around the umbilicus i.e,epigastrium and hypochondrium. Bowel sounds heard.
