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ACUTE ABDOMEN

ACUTE ABDOMEN. History of Present Illness. 45 year old male CC: Severe abdominal Pain. History of Present Illness. On and off mild epigastric pain Radiating to the back relieved by food intake and intake of omeprazole . severe epigastric pain became generalized. 3 days PTC.

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ACUTE ABDOMEN

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  1. ACUTE ABDOMEN

  2. History of Present Illness • 45 year old • male • CC: Severe abdominal Pain

  3. History of Present Illness • On and off mild epigastric pain • Radiating to the back • relieved by food intake and intake of omeprazole. • severe epigastricpain • became generalized 3 days PTC 2 Hours PTC ADMISSION

  4. Past Medical History • Past 6 months • Recurrent epigastric pain • Relieved by intake of Omeprazole (taken irregularly) Personal and Social History • Smoker • Occasional alcoholic beverage drinker

  5. PHYSICAL EXAMINATION • BP: 120/90 • PR: 98/min • Temp: 37.9’C • RR:23/min. • The heart and lungs are unremarkable. • Abdominal findings • absence of liver dullness • direct and rebound tenderness • generalized muscle guarding • Rectal exam • empty rectal vault.

  6. Salient Features • 45-year old • male • with severe abdominal pain (2 hours duration) • radiating to the back • relieved by food intake and intake of omeprazole (irregular intake) • recurrent epigastric pain for the past 6 months • Smoker • occasionally drinks alcoholic beverages. • BP is 120/90; PR of 98/min; Temp of 37.9’C; RR of 23/min. • absence of liver dullness • with direct and rebound tenderness • generalized muscle guarding • empty rectal vault.

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