A 61 YEAR OLD MALE WITH CHIEF COMPLAINT OF ABDOMINAL PAIN

 is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box

A 61 year old male  came to casuality with c/o abdominal pain on right side and constipation since a day

HOPI -patient was apparently alright 3 days ago when he developed pain in the right hypochondrium of the stomach which was sudden in onset and progressive in nature, which increased after eating oily food and decreased on taking medication.Associated with radiation of pain to the back.

The patient has no complaint of vomitings 
History of constipation since a day. He is now passing flatus stools (white in colour) 
Patient is a  known alcoholic since 20 years with his last drink 3 days ago 

PAST HISTORY :K/C/O hypertension since 9 years on medication of TAB. olmesar (olmesartan) 
Not k/C/O DM, TB, asthma, CAD 
No SOB
O/E - Conscious coherent and cooperative 
Pallor :No
Cyanosis :No
VITALS :
Bp: 130/90 bpm 
Respiration: 14min 
SpO2:98%
GRBS: 138mg%
Drain : 400 my (Bilous)
P/A : Soft tenderness at drain site 



Provisional diagnosis: 
On USG it showed obstructive jaundice secondary to Acute calculous cholecystitis


Treatment: 
INJ.  TAXIM IV/BD
INJ. METROGYL 500mg/IV/TID
INJ.  PAN40 mg/IV/BD
INJ. ZOFER 4gm /IV /OD
INJ. Tramadol 1 Amp in 100 ml NS slow IV/BD
TAB olmesar 40mg OD BBF


   ECG

COMPLETE BLOOD PICTURE 

LFT

COMPLETE URINE EXAMINATION 

RANDOM BLOOD SUGAR 

SERUM CREATININE 



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