Dyspepsia
A 44-year-old previously well bangladesh gentleman presented to the Klinik Kesihatan with a one day history of epigastric pain associated with vomitting. On examination, he was alert, pink with BP of 100/ 70, HR 100 and T 37.1. Per abdomen, there was tenderness at the epigastrium with generalised guarding and board like rigidity. The following is his CXR erect done at your Klinik Kesihatan.
Question 1: What are the abnormalities in the above xray? What is the most likely diagnosis?
Question 2: Lets say the same patient presented to you with an epigastric pain and his condition is stable. How would you approach and manage this patient?
Question 3: What are your differential diagnoses of an epigastric pain?
Drug Discussion: What are the different types of antacids available? What are their mode of actions and common side effects?
answ q1: is it the air trapped under the diaphragma?the most likely diagnosis is intestinal obstruction..i think so
ReplyDeleteansw q 2: ask for how long he had dyspepsia.any vomiting?
answ q3: GERD, heart failure, angina, gastric ulcer.
discussion: Gelusyl, ranitidine
gelusyl: constipation
ranitidine: gynecomastia
Thank you for the answer. You must be confident when answering questions in medicine.
ReplyDeleteQuestion 1: This CXR shows air under the diaphragm. From the history, the most likely diagnosis is PGU (Perforated Gastric Ulcer).
Based on some of the tips I have given in the bronchial asthma section, please try again in answering the rest of the questions.
Thank you.