F/75, C/o. severe epigastric pain with no tenderness. pain radiates to back. no relief from ppi, prokinetic, antacids, acetaminophen and antispamodic. pain controlled after tramadol and sublingual sorbitrate. spot dx rx.

A male aged 45 years who is a chronic alcoholic *Chief Complaints* Acute onset Pain Abdomen Epigastric, radiating to back Poorly localized *Physical Examination* P/A - Distended, BS(-)

A 28 yrs male patient came in ER with c/o severe abdominal pain vitals stable Abd distended xray abd erect done as shown here spot Dx ???

A male aged 45 years p/w complaints of Pain Abdomen and Fever since last 10 days...he requires oral analgesic on regular basis....On examination, his abdomen had localised tenderness in Epigastrium and he was febrile....comment on his CECT Abdomen and discuss the changes you see

A male pt aged 44 years p/w complaints of Pain Abdomen and Vomitings (Multiple) since 2 days... He also had 1 episode of Fever and severe constipation... comment on his Xray and discuss the causes of his symptoms