A diabetic male with Pain Abdomen

58/M chronic smoker and alcoholism present with severe excruciating pain in epigastrium extending both hypochondria since 2-3 days. No fever, SoB, Vomiting, gi bleed, altered bowel or bladder. Tolerating orally. CBP, ECG, amylase lipase.....WNL. This is Abdomen x-ray erect position. possibilities?

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?

48yrs old male....chest pain since 2days , left sided chest , severity pain 2/5, heaviness in left upper limb....know case of hypothyroidism old syncope 2yrs back ...since then tab ecosprin atorin ..thyronorm .Bp110/70 and sapo298. Blood invest...creatine kinase 250, troponin i elevated..rest normal limit...

please interpret pain abd , vomiting 2 days bowel not passed since 2 days flatus not passed since 1 day 50 yrs m USG NAD

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