Case presentation A 39-year-old male presented with pain abdomen, palpitation, episodic headache, and dyspnea associated with perspiration for one year. History of presenting illness Mild to moderate intensity pain in the abdomen initially localized to the right side and severe intensity with generalization in the last three months.
Anxiety and palpitations with sweating, especially at night Episodic headaches that were generalized; associated with nausea and vomiting in the last three months Progressive dyspnea for the last three months Bedridden for the last month Medical history H/o myocardial infarction (MI) with anterior wall thrombolytic treatment nine months back; normal coronary angiography H/o second MI episode and thrombolysis three months back; normal coronary angiography No assessment of abdominal complaints No significant addiction or family history Table 1. Different…
