Case 1
Contributors
Dr.S. K. Joshi,Dr.Jitender R Chintala Dr.Preetam B Patil,Dr.Muralidhar. K.
Clinical Details
50-year-old male presented with
-
Acute pain abdomen since 4 days
-
Fever with chills since 1 day
-
Previous medical history: surgery for renal calculi 18 yrs back.
On examination
-
Blood pressure: 150/90 mmHg
-
Pallor +
-
Other vital signs: normal
Local examination
-
Focal diffuse tenderness in the epigastric region
-
Severe guarding and rigidity
-
Scar in the right lumbar region
Laboratory Investigations
-
Hemoglobin -8.5g/dl
-
Total Leucocyte Count-10,900
-
Neutrophils:97%
-
Other Laboratory findings were unremarkable
Radiological Investigations
Chest and erect abdomen radiograph
-
No diagnostic abnormality
Ultrasound abdomen
