A 27-year-old male patient was complaining of epigastric pain and vomiting. On clinical examination, he had red skin on the right thorax. Ultrasound and Gastroendoscopy attached.
Rule out history of Herpes, trauma or tenia of neck. Is he a drug addict? Needs to give antacid. H2 blocker. Or PPI like S-Omeprazole 40mg twice. Get his Blood routine checked, H. pyloric IgA, IgM. Stool routine and ova/cyst.
For epigastric pain and vomiting causing GERD or gastritis/ gastric ulcer endoscopy is advisable On neck either it is birth hemangioma or Tinea
Nevus hemangeoma is birth mark Complaints are related are suggestive of APD likely GERD or GU Adv endoscopic examination
CT abdomen showing enlarged pancreas suggestive of acute pancreatitis Erythematosus lesion in right upper chest suggestive of cellulitis
Chances of peptic ulcer with dermatitis or urticaria not able to interpret usg looks like calcification
Pain and vomiting may be due to gerd ,acute cholelithiasis with cholecystitis, pancreatitis etc
gastric ulcer with tinea infectiiin h pylori infection cap.panD tab.amox 500. Bd 5 days tab.metro 400 tds 7 days susp.sucralfet Bd 1 spoon cream.luliconazole 1% tab.itraconazole 200 Od weekly
Mesenteric mass ? Matted lymphadenopathy
Red skin is birthmark or any infection?? epigastric pain and vomiting may be due to peptic ulcer
? APD .. ? GASTRIC PATHOLOGY..
Cases that would interest you
- Login to View the image
A male pt aged 45 years with past history of drinking alcojol and kindney stones., now complains of pain in the rt hypochondriac area and back.......usg normal except hepatic steatosis grade 2.....pt complai s of sever pain in ghat area . No fever Lab reports are wnl. Both direct and indirect bilirubin are on higher end (1.4 and 1.0 )respectively. KFT normal please know how to manage tgis case .@Dr. Sepuri Krishna Mohan
Dr. Mahendra Kumar3 Likes17 Answers - Login to View the image
Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?
Dr. Kanika Kalra1 Like34 Answers - Login to View the image
F 30 multiparty attended ER with c/o severe pain abdomen on Rt hypochondrium radiating towards mid abdomen mainly upper epigastrium & to the back with shivering (due to cold) with 2 episodes of vomiting.No HTN,No DM. Advice USG abdomen,ECG,CBC, Amylase Lypase,LFT, Treatment NPM,IV fluids 6 hourly,Inj Cefrrixone 1gm BD Inj Amikacin 500mg BD,Inj Pantaprazole 40 mg BD,Inj Tramadol 100mg TDS,Inj Diazepam,Inj Metronidazole 500mg TDS,Inj Onsansetron stat & SOS,Inj Drotavarin 80 mg stat.Interpret ECG,PD & Line of management.Sorry for tracing quality.
Dr. Sanjoy Sarkar2 Likes12 Answers - Login to View the image
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?
Dr. Prashant Ved4 Likes4 Answers - Login to View the image
a 2month child present as 4 _5 episode of vomiting per day since birth.. except vomiting no any complnd.. usg abdomin GB sludge present..size also mention.. what is management medical or surgical?
Dr. Kamal Kishor1 Like2 Answers
2 Likes