Case 2016, a 29 Year Old Man With Abdominal Pain 1 Week After Teeth Extraction.

Abstract

Mr. B a 29 year old from India, previously healthy presented with abdominal pain for 2 days located in the upper abdomen. The pain started suddenly as the patient was sleeping; pain intensity increases as he takes a deep breath. The pain has no radiation and was very severe described being 9/10. Mr. B was no able to sleep due to the severity of the pain. Pain does not change with movement yet increases when drinks water. No associated vomiting, nausea, bowel habit changes nor cough or urinary symptoms.Recently as in less than a week from presentation to the Causality the patient had a dental procedure as he got 2 teeth extracted in the left side inferior. This had affected in food intake as it caused severe pain whist eating. He was given Ibuprofen and Dalacin C after the procedure. Mr. B does not smoke nor does he consume alcohol. He is otherwise healthy and works as a domestic worker.On Examination, Vital signs were as follow Heart Rate of 80 bpm respiratory rate of 40 breaths per minutes and a Temperature of 37 degrees and blood pressure of 100/80 mmHg. Chest Examination shows a tachypnic patient with normal breathing and equal bilateral air entry yet crackles were audible. Cardiac Examination revealed a normal first and second heart sounds with no audible murmur. Abdominal examination shows no scars no skin changes; soft and lax abdomen with tenderness over the epigastric and right upper quadrant areas, no murphy's sign nor signs of ascites. Rest of examination is normal. The patient was admitted as a case of abdominal pain for investigation to the surgical ward.