45 yr old male patient with reccurent acute pancreatitis and alcohol dependence syndrome
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT CHIEF COMPLAINTS- C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS- Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward. H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectile, not blood tinged