A 55 year old male patient came ER at 9 pm with the chief complaint of not passing stool for 3 days with hyperacidity, vomiting and abdominal distension, tightness and pain. on further query, he did not give history of any comorbidities or any major illness in past. no history of similar episode in past.
on physical examination, the patient is slightly agitated, perspiring a little bit, tachycardia was there. BP-140/84, chest-bilateral scattered crepts, abdomen-rigidity was there.IPS-sluggish, tenderness diffusely.anemia, jaundice, edema were absent.
What is the diagnosis??
May be a case of GB stone with perforation of gallbladder leading to peritonitis followed by septic shock and collapse.
Reason- Anaemia, jaundice,abdominal distension,pain.
Abdominal rigidity and diffuse tenderness and sluggish PS due perforation of GB with peritonitis and paralytic ileus.
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