40year old male with pain abdomen
40 yr old male with pain abdomen July 30, 2023 CHEIF COMPLAINTS C/O pain Abdomen since 4 days History of Present Illness Patient was apparently asymptomatic 4days back then developed pain in the left hypochondriac region which is radiating to the right hypochondriac region C/O vomiting since 4days, 3 episodes watery in consistency ,non-blood stained, non foul smelling No C/O fever, decreased urine output, loose stools H/O Burning micturition since 4days C/O SOB, palpitations, orthopnea PAST HISTORY No H/O similar complaints in the past Not a k/c/o HTN,DM,Asthma,Epilepsy,CAD TREATMENT HISTORY Not significant PERSONAL HISTORY Diet - Mixed Appetite - Normal Sleep - Normal Bowel and Bladder movements-Regular Allergies - None Addictions-Alcohol addiction since 10 years last consumption was 2 days ago FAMILY HISTORY No history of similar complaints in the family GENERAL EXAMINATION The patient is conscious,coherent and cooperative; well oriented to time,place and person. Pallor-absent I