Suggest Differentials & Management

A male pt aged 44 years p/w complaints of Pain Abdomen and Vomitings (Multiple) since 2 days... He also had 1 episode of Fever and severe constipation... comment on his Xray and discuss the causes of his symptoms

A male patient of age 54 came with the chief complaints of abdominal pain which is sudden in onset and is of acute type. Distended abdomen. The person is known alcoholic and smoker. No history of fever, vomitings or abdominal tenderness. No flatus being passed. What is the probable diagnosis?

C/o A 56-year-old woman complaining of abdominal pain. Twenty-four hours previously she developed a continuous pain in the upper abdomen which has become progressively more severe. The pain radiates into the back. She feels nauseated and alternately hot and cold. H/o duodenal ulcer which was successfully treated with Helicobacter eradication therapy 5 years earlier. on Examination... The patient looks unwell and dehydrated. She weighs 115 kg. She is febrile, 38.5°C, pulse is 108/min and blood pressure 124/76 mmHg. She is tender in the right upper quadrant and epigastrium, with guarding and rebound tenderness. Bowel sounds are sparse. What is the most likely diagnosis?

severe abdomen pain umbelical area TLC 14400 PLZ SUJJEST

45 year old lady presents in ER with history of severe epigastric pain. Her amylase and lipase were wnl. She was advised PPi was advised to follow up in opd. Now her LFT are deranged. What differential should we consider?