31 year old male with acute interstitial pancreatitis

unit 5 admission 
Interns 
Dr. Sridevi 
Dr. Mourya
Dr. Shriya
Dr. Sowmya
Dr. Anjali 
Dr. Natasha ( Pg Y3) 
Dr. Zain Alam( Pg Y2) 
Dr. Shashi kala ( Pg Y1) 
Dr. Shailesh Patil( Pg Y1) 
Dr.Praveen Naik Assc prof 
Dr. Rakesh Biswas HOD
31 year old male complaints of pain in epigastric region
 since yesterday night. 
HOPI
Patient was apparently asymptomatic till yesterday night then developed pain in the epigastric region, pricking type which was radiating to back associated with one episode of vomiting- food particles as content , non bilous, non projectile
No h/o fever, chest pain, pedal edema , constipation, SOB , giddiness, headache , nausea. 
Past history-- 
Not a known case of DM, HTN, TB, epilepsy 
No similar complaints in the past 
Personal --Alcoholic since 10 years --whiskey 180ml/day
O/e 
Pt ccc 
Bp-110/80mmhg 
Pulse -84 bpm 
P/A- tenderness present in epigastric region 
Diagnosis-Acute interstitial pancreatitis with alcohol dependence syndrome 
1) IV fluids 1 NS, 1 RL, 1DNS over 100ml/hr
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7) BP/PR/Spo2 MONITORING
8) RYLES TUBE INSERTION
9) NBM
Day 2
1) IV fluids 1 NS, 1 RL, 1DNS over 75ml/hr 
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7) BP/PR/Spo2 MONITORING
8) NBM till further orders 
Day 3
1) IV fluids 1 NS, 1 RL, 1DNS over 75ml/hr 
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7) BP/PR MONITORING
Day 4
1) IV fluids 1 NS, 1 RL, 1DNS over 50ml/hr 
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7) INJ METROGYL 500mg IV bd 
8) INJ CIPLOX 500mg IV BD 
Day 5 
1) IV fluids 1 NS, 1 RL, 1DNS over 50ml/hr 
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7) INJ METROGYL 500mg IV bd 
8) INJ CIPLOX 500mg IV BD 
Day 6
1) IV fluids 1 NS, 1 RL, 1DNS over 75ml/hr 
2) INJ.PANTOP 40mg IV OD 
3) INJ. TRAMADOL 1 amp in 100ml NS IV OD
4) INJ. OPTINEURON 1 amp in NS IV OD
5) INJ. THIAMINE 1 amp in NS IV OD
6) INJ. ZOFER 4mg IV BD 
7)TAB DOLO 650MG PO SOS 
8) INJ CIPLOX 500mg IV BD 
9) TAB ATIVAN 2MG 

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