Patient K., 35 years old, upon admission to the hospital complained of pain in the epigastric region that occurs 2 to 2.5 hours after eating and at night, lasting 30 to 40 minutes, with radiation to the spine. The pain disappears after taking milk, white bread. Sometimes vomiting occurs at the height of the pain, after which the pain also disappears. This morning I noticed a feces of a mushy consistency, black in color, about which I went to the doctor.
In the study: the skin is pale, body weight is moderate. The tongue is moist, without plaque. The abdomen is of the correct form, the right half lags behind when breathing, in the pyloroduodenal zone there is a symptom of muscle protection. Symptoms of peritoneal irritation are negative. The outpatient card contains an analysis of gastric juice, the study was conducted several months ago.

d3ee    2   22.04.2020 18:49    3