29/M,single,. came with c/o of upper abdominal pain, vomiting 3 days..ch alcoholic. wt 49kg. cvs&other system-no obvious abnormality.. For ur suggestion pls..

C/o A 56-year-old woman complaining of abdominal pain. Twenty-four hours previously she developed a continuous pain in the upper abdomen which has become progressively more severe. The pain radiates into the back. She feels nauseated and alternately hot and cold. H/o duodenal ulcer which was successfully treated with Helicobacter eradication therapy 5 years earlier. on Examination... The patient looks unwell and dehydrated. She weighs 115 kg. She is febrile, 38.5°C, pulse is 108/min and blood pressure 124/76 mmHg. She is tender in the right upper quadrant and epigastrium, with guarding and rebound tenderness. Bowel sounds are sparse. What is the most likely diagnosis?

A 30yrs Old Lactating Mother of 2months Old Neonate presented to my OPD with Severe Pain Abdomen at Epigastric area & Peri-Umbilical areas.. USG Abdomen & Pelvis Report along with CBP.. Post your Treatment ideas & If possible, comment regarding the aetiological factors for this condition in this case..??

45 yr male report attached kindly suggest management plz complaint of pain abdomen

41 year old male patient asymptomatic 2days ago, then developed diffuse pain abdomen, more at epigastric region, epigastric tenderness present, and also complain pain at rt flank , no radiation, no burning micturition, no constipation, h/o vomiting present 2 episodes, no htn, no DM, chronic alcoholic, vitals are normal.. Usg abd: Rt renal calculus 4.5mm, and mild hepato megaly noted . On day 1 : Sr.Amylase 198IU/L, on day 2: sr Amylase 526 IU/L, And the treatment is as follows: Pt is under NBM 1.Inj .Monocef +sulbactum /iv/bd 2. inj . pantaprazole /iv/bd 3. inj. Buscopan /iv/sos 4.inj. 25% D /iv/bd 5 ivf. 2 units of 0.9% NS 2 units of RL 1 unit of DNS over 24 hrs. admitted on 13th May, today complaint is SOB, on auscultation lungs are clear, ECG ::. sinus tachycardia given Metaprolol 50mg, after giving metaprolol HR comes down. Wt is the cause of SOB, and cause of sudden raised sr.amylase. Help me in this case::