Kindly suggest Treatment 38y/M Acute right chest pain and go to right Arm Bp 140/90, spo2 96, rr23

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In my opinion it is a case of Acute Cholecystitis with Cholelithias. Please ask for USG of whole ABDOMEN Give Injection TRAMADOL one amp im
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Needs further investigation and evaluation to conclude and line of treatment. ECG and x Ray chest to rule out dextrocardia.
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Aspirin 75mg stat Sublingual 5 mg sorbitrate Ecg with long lead 2 urgent Check pulse BP
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Ecg should to evaluate cardiac cause
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Xray first
Does this patient need to lose weight? If so, amapachana and medohara would be first plan, otherwise heart and BP treatment not effective.
NEEDS. FURTHER. EVALUATION 1. X. RAY.....CHEST 2. USG... 3. ALL. ROUTINE. INVESTIGATION
Ecg should be done to rule out cardiac relation.
But right side pain
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CXR, ECG, CBC, COVID SCREENING,
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