60M COMA WITH POSSIBLE ALCOHOLIC DELIRIUM TREMENS ON MECHANICAL VENTILATION 4 DAYS
60yr Old male who is an farmer & shepherd . Married at age of 18yrs (3sons). Daily routines Wakes up @ 4am 4am-8am goes to cattle farm and draw milk from buffaloes. 8am drinks some tea and goes to farm and returns back to home around 10am 10am eats rice and takes cattle to field . 2pm eats rice in the filed ,which he carries from home. 2pm to 5pm does some farm work and look after the cattle. 6pm returns back to home along with his cattle. 6pm to 8pm talks with his friends, drinks alcohol and have some smoke. 8pm eats rice and goes to sleep at 9pm. ADDICTIONS: Started smoking at the age of 18yrs(10-15 beedis /day). Drinks alcohol occasionally from the age of 18 years but from past 20 years he is taking alcohol regularly 90ml/day (after his childern got married and settled he started taking alcohol regularly ) HOPI: Pt was apparently asymptomatic 1yr back then gradually developed pain and swelling in left inguinal region ( *reducible* hernia) ,and used to have pain abdomen on