A male with UGI Bleed

49 year old female with diabetes mellitus brain injury was referred for feeding tube placement. Endoscopy showed a large ulcer. What are the possibilities

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?

History of fever and pain abdomen. kindly comment on the x Ray chest and suggest further plan. Thanks

A 17 year old boy, student came in o.p.d department with complain of episodic pain in abdomen, in epigastrc area with vomiting and bleeding per rectum occasionaly which was fresh.small in amount,history of illness since 5 years.physical examinations clue shown in images,what should we do further?

19 year male came with sudden chest pain that awakened him from sleep at 3 AM. The pain is located in the midsubsternal region and radiates to the neck. The patient describes it as a sharp pain. The pain worsens with inspiration and is associated with shortness of breath. The patient denies having any fevers, chills, cough, hemoptysis, nausea, or vomiting.The patient has an 8–pack-year history of smoking cigarettes. He denies any alcohol use. Chest radioghaphs are attached. Share your views on diagnosis and management.