I have a friend who has been on a drinking binge for the last 2 days, at least.  Yesterday he says he did a bunch of cocaine- amount unknown.  He was in a fight today (I know this sounds awful) and showed up to my house.  Hes now complaining of 4/10 right upper quadrant pain, but it looks like its more than that.  Vital signs are OK- BP 130/84.  HR slightly elevated.  One episode of N&V- no blood.Any thoughts?
Welcome to the Chat Doctor Here history of trauma present.... Hence, it could be trauma induced muscular strain pain.... But internal bleed or organ injury also has to be rule out... For that examination and x-ray and USG like investigation done needed EKG done Ibuprofen prescribed for five days Hot compress helpful and avoid strenuous work up Take care Consult pulmonologist for examination without delay with keeping my answer in mind