Provisional diagnosis: ALCOHOLIC GASTRITIS ACUTE PHARYNGITIS (? REACTIVE ? INFECTIVE ) WITH AKI RESOLVED DENOVO DM ( HBA1C 6.9)

Patient came to casuality wih c/o epigastric pain since 2pm of 27/2/22.

Nausea and vomitings are present since 4pm yesterday. 

HOPI: 

Patient is a chronic alcoholic since 20yrs.

Due to issues with his wife, he is consuming alcohol since 1yr.

For the last 7days he is drinking wihout having food.

C/o epigastric pain since yesterday 

Burning type, radiating to back gradually progressive. 

Nausea present, vomitings present of dark black colored.

Non bilious, non projectile.

C/o Burning sensation in throat

Similar episode of binge drinking 2 eisodes in last 1yr.

K/C/O HTN since 5yrs , on medication - irregular. 

N/K/C/O: DM, TB, asthma.

O/E:

Pt is C/C/C.

Afebrile.

Bp: 120/80

Pr: 84 bpm

Rs: BAE+

CVS: S1S2 +

CNS: NAD.

Abdomen : soft and tender at left hypochondrium 



After 

TREATMENT :- 
1) INJ PANTOP 40 MG OD 
2) INJ THIAMINE 100 MG IV BF 
3) IVF  NS AND RL 
4) INJ ZOFER 4 MG IV SOS 
5 ) INJ PIPTAZ 2.25 MG IV TID DAY 3 
6)BETADINE GARGLING 
7) SYRUP MUCAINE GEL 10 ML PO TID 
8) NEB BUDECORT 1 RESP 1 NH BD 
9 ) TAB AZITHROMYCIN  500 MG PO OD 



Provisional diagnosis: ALCOHOLIC GASTRITIS ACUTE PHARYNGITIS (? REACTIVE ? INFECTIVE ) WITH AKI RESOLVED  DENOVO DM ( HBA1C 6.9)

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