A 24 y/o male bought from a night club intoxicated, vomiting and complaining of severe upper abdominal and retrostemal chest pain. He had been drinking all day. He started vomiting 2 hours after a curry and the pain commenced acutely shortly afterwards. His friends take him to hospital as he was in too much pain. On examination, his pulse was 130 bpm, his respiratory rate was 30 bpm and his blood pressure 90/60 mmHg. A chest X-Ray shows: What is the diagnosis ? A) Acute cholecystitis B) Acute Pancreatitis C) Boerhaave's syndrome D) Perforated peptic ulcer E) Ruptured aortic aneurysm

Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?

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?

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?

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?