A 26 year old male presented to the with abdominal pain and episodes of Vomiting

Chief complaints: Abdominal pain since 4 days , vomiting since 4 days.

History of presenting illness: Patient was apparently asymptomatic 12 years back then he developed epigastric pain. Last episode was 10 days back and subsided after medication . Present episode since 4 days, the epigastric pain is of burning type, continous radiating to midscapular region and relieved on medication. 5  Episodes of vomiting 4 days back which was associated nausea, bilious, non projectile in nature with food content with bad odor. 

Past history: Patient is a chronic alcoholic and has similar complaints in the past.
No history of diabetes, hypertension, Asthma, TB, thyroid, epilepsy.

Personal history: 
Diet: mixed
Appetite : normal
Sleep : adequate 
Bowel and bladder: regular 
Addictions : Chronic alcoholic and stopped since 1 month.

Family history: No similar complaints 

General physical examination: 

Patient is conscious coherent and Cooperative. 
Pallor: absent 
Icterus : absent 
Cyanosis : absent 
Clubbing: absent 
Lymphadenopathy: absent 
Edema : absent 

Systemic examination:

CVS: S1 S2 heard

RESPIRATORY SYSTEM: Normal vesicular breath sounds heard 

CNS : No focal neurological defects 

Abdomen : Soft tender in the epigastric, left hypochondriac region.

Investigations: 
USG :
2D echo: 
Diagnosis : Chronic pancreatitis with recurrent episodes .

Treatment: 
Inj tramadol
Inj Pantop
Inj zofer
Inj ciprofloxocin
IV fluids.



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