A 31 year old male with chief complaints of pain abdomen since 1 week ,epigastric,non radiating,relieved by sitting,intermittent type

C/o- vomitings since 1 week,4-5 episodes /day which lasted 3 days and subsided 

C/o-SOB since 2 days,no c/o fever,chest pain,palpitations

No c/o- decreased urine output

No h/o- fever,loose stools

No h/o-chest pain pedal edema

HOPI-

Pt.was admitted in outside hospital 1 week back,admitted for 1 week and treated with inj. Piptaz,inj.metrogyl,IVF .His creatinine kept on increasing so he was referred to our hospital

Not a k/c/o DM,HTN,CAD,Epilepsy,TB

PERSONAL HISTORY-

Alcoholic since 4 years

Consumes 180 ml daily and the last intake was one week back which was 360 ml

Khaini+

GENERAL EXAMINATION-

No pallor,icterus,cyanosis,clubbing,lymphadenopathy

Pedal edema- present,pitting type

PR-110/min

RR- 26/min

BP-150/100 mmHg

Temp-

SPO2-88%

GRBS-104 mg%

SYSTEMIC EXAMINATION-

CVS-

S1,S2 heard

No thrills and murmurs

RESPIRATORY SYSTEM-

NVBS heard

BAE+, decreased BS on right infra axillary area

ABDOMEN-

Shape-distended

Tenderness-epigastric and hypogastric

CNS-Pt conscious 

Oriented to time ,place ,person .

Gcs - E4V5M6 

Tremors present .

PROVISIONAL DIAGNOSIS-

Acute necrotising  pancreatitis with AKI with MODS(ALI,AKI)

with ?B/L pleural effusion and moderate ascitis . 

Currently in ?Alcohol withdrawal . 

INVESTIGATIONS-









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