32 M histry chronic alcoholic ,Abdoman pain with vomiting ,constipation 8 days DD and treatment

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? Cirrhosis ? Intestinal obstruction. Symptomatic treatment. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Maintain nutrition hydration and hygiene. Stop alcohol consumption. Look for electrolyte imbalance. Stop oral medication .

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?Cirrhosis evaluation to conclude diagnosis and line of treatment. ?Intestinal obstruction Symptomatic treatment Needs further investigations and

It's a case of cirrhosis...symptomatic treatment is required.

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Pt needs further investigation Usg-whole abdomen Xray abdomen in erect and supine position to rule out intestinal obstruction

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This kind of patients are prone to develop pancreatitis... Leading to associated paralytic ileus.. And why a patient of alcoholism develops intestinal obstruction? Platelets are normal.. So chronic liver disease less likely. Go for xray abd. Standing Usg Lipase Amylase Lastly can go for CT abdomen.. And regarding t/t first ryles tube Then supportive Antibiotics Analgesics

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