A 55 YEAR OLD MALE WITH ACUTE PANCREATITIS

CHIEF COMPLAINT:
58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning.


HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic upto yesterday 
Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication.
H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious
No H/O fever, constipation, loose stools
Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night. 

HISTORY OF PAST ILLNESS:
N/K/C/O HTN,DM,CAD,TB,epilepsy,Asthama
No past surgical history 

PERSONAL HISTORY:
Appetite-normal
Diet-mixed
Bowel and bladder Movement-Regular
No allergies 
Alcoholic regularly

GENERAL EXAMINATION:
patient is Conscious,coherent and cooperative 

-No pallor

-No icterus

-No lymphadenopathy

-No cyanosis

-No clubbing of fingers 

VITALS:
Temperature-afebrile
Pulse rate -90 bpm
Respiration rate -16cpm
Bp-110/80 mm Hg
Spo -98%

SYSTEMIC EXAMINATION:
▪️CVS

S1 & S2 sounds are heard




INVESTIGATIONS 
Serum creatinine -0.9
Blood urea- 20mg/dl
Serum electrolytes:
Sodium-137
Potassium-4
Lipase-29
Amylase- 84


DIAGNOSIS:
ACUTE PANCREATITIS

TREATMENT:
Inj PAN 40mg IV /OD
Inj BUSCO PAN  IM

Popular posts from this blog

A 34yr OLD MALE PATIENT WITH SOB, SEVERE COUGH AND ANAEMIA

Image
  It 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 CHIEF COMPLAINT： A 34yr old male patient came with c/o shortness of breath (grade 2) and low grade cough since 20 days  patient is conscious,coherent,cooperative C/o of severe cough,vomitings and diarrhoea  HISTORY OF PRESENT ILLNESS ： patient was asymptomatic 20 days back then developed breathlessness. SOB (grade2) increased on exertion, relieved on taking rest, decreased on sitting position increased on lying down After a week he developed intermittent fever during evening time alo...
Read more

A 61 YEAR OLD MALE WITH CHIEF COMPLAINT OF ABDOMINAL PAIN

Image
 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 fl...
Read more

19 Year old male with fever and lower backache

Image
This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input . This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.   CHIEF COMPLAINT patient came to OPD with a chief complaint of Fever since 3 days ,Lower back ache since 3 days,Generalized weakness since 3 days HISTORY  OF PRESENTING ILLNESS  Patient was apparently asymptomatic 10 days back then he developed high grade fever which was continuous ,no diurnal variation which got relieved on medication given by local RMP [some IV medication was given for 1 day and oral medication for 3 days]. Now again since 3 days he had high grade fever wh...
Read more