29/M,single,. came with c/o of upper abdominal pain, vomiting 3 days..ch alcoholic. wt 49kg. cvs&other system-no obvious abnormality.. For ur suggestion pls..

A MULTIPLE CASES A 62 years male patient, complaining with pain abdo, pain at hypochondriac region also in umbilical region, nausea č vomiting, loss of appetite, jaundice, lower limb swelling with weakness. *Chief Complaints* Severe pain abdo, nausea č vomiting, haematuria, chest pain, pain at sternal region, anematic. Pleural effusion. *History* Alcoholic *Vitals* BP 150/90mmHg Pulse 110bpm R/R 20bpm Spo2 90% CVS s1 & s2 P *Physical Examination* Chest B/L ronchi Abdo. distended UL NAD LL AF Edema +++++ DM° *Investigations* Reports are submitted *Management* Conservatives management started according to the complications.

A 28 yrs male patient came in ER with c/o severe abdominal pain vitals stable Abd distended xray abd erect done as shown here spot Dx ???

a 45 yr old female complains of pain in right hypochondrium radiating to shoulder.nausea,vomiting reported.u SG abdomen done .wt is differential diagnosis

severe abdomen pain umbelical area TLC 14400 PLZ SUJJEST