26 year old male with c/o Abdominal pain and Vomitings

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This is the case I have been given :-

 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

GENERAL EXAMINATION

 No Pallor/ icterus/ cyanosis/clubbing/lymphadenopathy/edema

INVESTIGATIONS 

ULTRASOUND

ECG -

2D -

Xray- 

Fever charting -

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