A young male with Acute Abdomen

A young male aged 35 years Chief Complaints Pain Epigastrium (x 1 day) Deep Boring Pain Radiating to back Vomitings (Multiple) Physical Examination P/A- Soft, BS(+) Investigations S. Amylase - 1020

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Pain epigastrium refered to back Multiple vimitus Raised sr amylase Head of pancreas is disfigured with perilesional swelling on ct abdomen D/d chr pancreatitis 2 malignancy ?ca pancreas

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Consider acute pancreatitis. Medical management including analgesics, octride, iv fluids, ofcourse treatment of culprit etiology.

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Acute pancreatitis Adv : CBC H/o alcohol or any drug? Tab RABIKIND DSR od for 10 days Tab PANCREATIN bd for 10 days Tab UPRISE D3 60K once a week for 4 week Syp DUPHALAC 15ml hs Tab DROTIN 40mg bd Tab TRAMADOL SOS Tab ONDEM 4mg sos Adv to drink plenty of water Stop Oil and fat rich diet and alcohol

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Case of Acute Pancreatitis NPO till vomiting settles Iv fluids PPIs Antispasmodics Analgesics

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