30 yr old male with complaints of pain abdomen since 3 days and vomitings since 3 days. February 03, 2022

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CASE

This is a case of a 30 year old Male who is a painter by occupation presented with the complaints of pain abdomen since 3 days and vomitings since 3days.

HOPI

Patient was apparently asymptomatic 1year back then he developed abdominal pain which was sudden in onset gradually progressive ,dragging type. Vomitings which was nonprojectile, nonbilious, 3 episodes in a day which lasted for 3 days which releived on taking medication.After this he had Similar complaints for every 3 months.

Now he came with abdominal pain 3 days back and 7-8 episodes of nonprojectile vomitings which contains blood clots.

1 episode of greenish colored vomitings.

Past history

No significant past history

No surgeries in the past

Family history

No significant family history

Personal History

He wakes up at 7'0 clock in the morning and does his personal work, he'll have his breakfast and goes to work .He will come back home by evening 6 PM .

He takes vegetarian diet, with normal appetite and regular Bowel and bladder habits.

He started smoking 8 years back and smokes 3 packs per day and he is a alcoholic since 8 years
No known allergies.

General examination

Patient was conscious, coherent, cooperative
No Pallor, Icterus, Clubbing, Cyanosis, Lymphadenopathy
There were no signs of dehydration.

Vitals

Temp: AFebrile

PR- 73/Min

RR- 18/Min

BP- 140/90 mmHg

Spo2 -99%at RA

SYSTEMIC EXAMINATION

Per Abdomen - shape of abdomen is obese. No tenderness and no palpable masses are found.