A 37 Year old with chief complaints of abdominal pain.
A 38 yr old male with chief complaints of abdominal pain. CASE A 38 year old male came to OPD with chief complaints of abdominal pain since 4days. HOPI Patient was apparently asymptomatic 4 days ago, then he developed epigastric pain insidious in onset ,continuous, stabbing pain,radiating to back,aggrevated on eating food,relived on bending forward associated with vomitings(10episodes per day which is non-bilious, non-projectile,non blood tinged,content-food material). H/O constipation since 4 days. H/O bloating since 4 days. PAST HISTORY No similar complaints in the past. Not a known case of diabetes mellitus, hypertension, thyroid, epilepsy. No history of previous surgeries. PERSONAL HISTORY DIET : mixed APPETITE : decreased SLEEP : adequate BOWEL : constipation MICTURITION :no urine output FAMILY HISTORY Not relevant GENERAL EXAMINATION PALLOR : Absent ICTERUS : Absent CYANOSIS : absent CLUBBING : Absent LYMPHADENOPATHY : Absent EDEMA : Absent VITALS TEMPERATU