45yr female patient severe pain in abdomen vomiting 6 or more episodes last 2days .. admitted on indoor... plz management and Rx....

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DD- Acute Cholecystitis Acute pancreatitis Peptic ulcer disease Reflux esophagitis Do Property USG abdomen , CBC, LFT, Amylase,Lipase ...

Give Them , Inj. Pantaprazole 40 mg in 100 ml NS Iv / OD , Inj. Tramadol 50 Mg IV / B. D. And NBM The Patient For Two Days !.......

Thank you sir
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