27 yr old male presented with stomach pain
27yr old male resident of vellanki Mason by occupation came with chief complaints of stomach pain since 2 days An episode of vomiting just before presentation HOPI: Patient was apparently asymptomatic 3days ago then he developed stomach pain in epigastric area which is insidious in onset pricking and shooting type of pain radiating to back (lumbar region) gradually progressive in nature aggregated on not having food and no relieving factors 7-8 episodes of non projectile and non bilious vomiting History of fever 10days ago History of weight loss, loss of appetite, insomnia, fatigue No complaints of chest pain, palpitations, SOB, headache, burning micturition,loose stools, giddiness SEQUENCE OF EVENTS PAST HISTORY He is known alcoholic since 5 years with a daily intake of 160ml No history of DM,TB, ASTHMA,HTN, EPILEPSY, THYROID DISORDERS, ALLERGIES FAMILY HISTORY No relevant family history PERSONAL HISTORY Diet mixed Appetite reduced Bowel and bladder movements regular Addiction