A 33 yr old patient
A 33 year old patient resident of Suryapet,electrician by occupation ,presented to casuality with chief complaints of -Nausea and vomitings since Sunday 4pm - Epigastric pain since Sunday 2 pm -Induced vomiting - Throat pain HISTORY OF PRESENT ILLNESS Patient is Chronic alcoholic since 20yrs. Due to issues with his wife he consumes alcohol since 1 yr.For the last 7 days he is drinking without eating food. He has complaints of Epigastric pain since yesterday ,burning type and radiating to back and gradually progressive. Nausea and Vomiting is seen ( vomitis in black colour)after retching ,non bilious,non projectile Complaints of burning sensation in throat PAST HISTORY Similar episode of binge drinking, 2 episodes in last 1yr N/C/K/O DM K/C/O Hypertension since 5yrs, On medication ,irregular H/O Hernial surgery (Rt) 10 yrs back PERSONLA HISTORY - Married -Mixed diet -Apettite less since 1yr -Bowel movements - Regular -Micturition - Norm