a 26 years old male was working when he experienced gnawing abdominal pain which gradually increase in intensity, sometimes being on and off associated with vomiting and fever. patient is a non-diabetic and Non-asthmatic. No food and drug allergies . Patient had the following vital signs-Bp-120/80 HR- 95/min RR- 26/min T: 37.9C Abdominal Distended, (+) direct tenderness of all quadrants (-) rebound tenderness , ill-defined masses on all quadrants.
Dear sir/madam. These symptoms and signs seems very serious and evaluation should be done as soon as possible. Ill-defined masses on all qua Chat Doctor.  You need to do inflammatory markers. Vital signs are ok, but it sounds like intra-abdominal infection(appendicitis, colitis, diverticulitis, abscesses, tumors) and surgical and garment. Work up should be performed. Wish you good health.