Chief Complaint: Abdominal Pain
A 48 year-old man presented to the outpatient clinic with a 3 day history of mid epigastric pain. There was no vomiting but some nausea. He denies fever. Questionable history of some diarrhea 3-4 days prior but since then little in the way of bowel movement. On the morning when he was seen he did have a formed bowel movement. Denies weight loss, mucous in the stools or travel recently abroad. Denies peptic ulcer disease.
There is a history of beer drinking often, questionable excessive. No history of liver disease.
On exam, he appeared somewhat distressed because of abdominal distension and pain. He was afebrile. The blood pressure was normal, the pulse 95 regular and the reparations 22 per minute. The chest was clear but shallow. The heart without murmur orgallop. The abdomen was distended, minimally dystehrmic and without point tenderness. On auscultation there was hyperresonance at the epigastrium.
A flat and uprioght set of films of the abdomen are shown.
Where do we go form here in diagnositics and management?
Presented by Dr A Gordon
it could be cause from morning sickness weeks that pregnant women usually experience, im just glad there are natural ways to deal with it..
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