50 year old female with pain abdomen

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50 year old female with pain abdomen a/w SOB Since 3 days and constipation since 2 days.

A 50 year old female patient came on 30/11/21 with c/o pain abdomen since 3 days a/w sob, constipation since 2 days.

H/o pain abdomen 2 months back

Hopi:

Patient was apparently asymptomatic 3 days back then she developed pain abdomen in right hypochondrium a/w sob grade 2 and 3

H/o nausea and vomiting 4 episodes 3 days back, no palpitations

History of past illness:

N/k/c/o htn/dm

H/o renal caliculi since 2 years managed conservatively.

Examination:

Patient was c/c/c

Temperature: afebrile

PR- 68/min

RR-26min

BP-130/70mmhg 

CVS:s1s2+

R.S:bae +

P/A: Soft, non tender,bs+

Probable diagnosis:

Constipation secondary to Paralytic ileus.

Treatment:

1.IVF- 45% NS @ 75ml/hr

2.Syp. DUPHALAC 10 ml PO BD

3.Tab. BUSCOPAN PO SOS

4.Tab. PAN 40 mg PO OD

5.Soap water enema

6.Monitor vitals 

7.Inform SOS