26 year old male with c/o abdominal pain

 Note: This is an online E Log book recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent.

-Ajitesh Racharla 07

-Anirudh Mane 12

 A 26 year old patient cab driver by occupation came to the hospital with c/o abdominal pain around the umbilicus


 CHIEF COMPLAINTS


 The patient has c/o pain in the abdominal region near the umbilicus

 And c/o vomitings on the day of addmission


 HISTORY OF PRESENT ILLNESS


 The patient was apparently asymptomatic 4 months ago.

Had sudden onset of pain in the same region as now and was diagnosed with pancreatitis

 

HISTORY OF PAST ILLNESSES


 Patient was treated for pancreatitis with medication 

No surgery was done

 No h/o DM HTN asthma TB


FAMILY HISTORY


No h/o similar conditions in his family


PERSONAL HISTORY

 

He is a driver by occupation and had consumed a lot of spicy fast food due to his profession

 Appetite has been decreased since 4 months from the onset of pain

 Bowel movements normal

 No burning micurition

Diet mixed

 

GENRAL EXAMINATION


 No 

Pallor/ icterus/ cyanosis/clubbing/lymphadenopathy/edema


INVESTIGATIONS ORDERED


S amylase, lipase, CXR, ECG, hemogram, LFT, RFT



ULTRASOUND




ECG




INVESTIGATIONS
















X-RAY 



2D



FEVER CHARTING 





CLINICAL IMAGES




PROVISIONAL DIAGNOSIS


Acute pancreatitis 


TREATMENT 


 1) IVF NS RL @100 ML/HR

2) INJ TRAMADOL 1 AMP IN 100ML NS IV/SOS

3) TAB PAN 40 MG PO/OD/BBF

4) TAB ZODER 4 MG PO/SOS 

5) TAB PANCREATO FLAT PO/OD

6) SYP CREMAFFIN PLUS 15 ML PO/HS





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