26 M sudden abdomen pain, vomiting vitals stable DD and treatment

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Can be a case if Acute Appendicitis... Perform routine tests including CBC... If pt is having Sepsis , then conservstive treatment with Antibiotics n IVF... Once recovery occurs, then Interval Appendicectomy myt be planned

What is the total and differential count ? Any vomiting .Guarding and tenderness are ominous sigh s.Rebound tenderness suggests peritonitis . Keep him nil orally ,antibiotics parenterally,Nasgastric aspiration if there is vomiting . Review after few hours . If pain persists ,guarding mainifests subject him to surgery.

D D 1- INFERIOR WALL ISCHEMIA 2- GASTRITIS 3- ACUTE APPENDICITIS 4 DYSPEPSIA 5 -PEPTIC ULCER AND GASTRIC ULCER . TREATMENT DEPENDS UPON DIAGNOSIS RULE OUT HISTORY OF TOBACO AND ALCOHOLE CONSUMPTION .

For diagnosis of acute appendicitis or ruling out best would be calculating Points on Alvarado scoring system..

Confirm appendicitis with ct scan and proceed for surgery If no features of appendicitis, ppi antiemetic analgesics and antibiotics

Acute Appendicitis and need appendectomy.

Acute appendicitis needs surgeon intervention urgent. Nil oraly, iv fluid,iv antibiotics,ppi, antiemetic, appendectomy?

Get cect abdomen May be appendicitis Examine clinically as well

One of the possibility is acute pancreatitis particularly if the pt is chronic alcoholic, so Pl do serum amylase/serum lipase

Was the patient febrile.in that case,uti/malaria should be in dd.

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