Patients with retero-sternal burning or pain epigastrium
aggravating on empty stomach or after meals with normal serial ECGs and x-ray chest were given trial of H2 receptor blocker.
SRAD can present clinically with severe hypertension, haematuria, proteinuria, flank pain, abdominal bruits and/or acute renal failure.21 The most common symptom of SRAD is unilateral flank pain radiating to the epigastrium
(reported in as many as 92% of the patients in one retrospective study)5 which if accompanied by haematuria can erroneously point towards a diagnosis of urolithiasis.
Majority of patients presented with pain in right hypochondrium (64.9%) or pain in right hypochondrium and epigastrium
(24.3%) along with dyspepsia (12.2%) and heart burn (10.7%) as main clinical symptoms.
Examination revealed a tender right upper quadrant and epigastrium
, with no evidence of peritonitis and normal bowel sounds.
CVS: S1 S2+, P/A: soft, diffuse tenderness +, guarding + in left hypochondrium and epigastrium
. LE: 3 cm sutured wound present over left lower chest in the infra-axillary region.
On examination, palpation of the abdomen may reveal a mass in the epigastrium
. This mass, which consists of the thickened and elongated pylorus, is referred to as the 'olive' or 'pyloric lump' and is sometimes evident after feeding.
A 70-year-old male presented to the medical OPD with pain in the right upper quadrant and epigastrium
associated with vomiting, intermittent fever with chills and rigors for the past 12 days.
Majority of patients presented in 4th and 5th decade (60.52%) with pain in right hypochondrium (58.79%) and pain in right hypochondrium combined with pain in epigastrium
(27.6%) as main clinical features.
The pain worsened and became more localised to the epigastrium
and left upper quadrant.
[14,15,16] The umbilicus was by far the most common port to be associated with incisional hernia, However, hernias were observed at all other sites including the epigastrium
, the right and left hypochondrium.
The patient, a 47 year old male presented with history of vomiting and pain epigastrium
two weeks back.
Clinical evaluation revealed mild anaemia and an ill defined cystic mass in the epigastrium
. Nutritional status was adequately preserved.