Patients mostly are in severe pain with their abdomen feeling rigid or board like when touched. Associated indicators are nonspecific and may consist of fever, chills, nausea, vomiting, anorexia, change in bowel habits, weight reduction for contained perforation, syncope, dizziness, and dysuria. pain and quizzes rigid stomach. it’s quizzes surgical emergency requiring immediate fluid resuscitation and switch examination theatre ASAP once prognosis is made prognosis in free perforations is generally supported by University finding of free gas under University diaphragm on anSome of University commonly followed symptoms are severe pain in University abdomen, stiffness in stomach upon touching, elevated heart rate, reducing of University blood force, fever, quizzes feeling of nausea, on occasion greatest examination vomiting and belly distention. Patients mostly are in severe pain with their stomach feeling rigid or board like when touched. When prompt treatment for quizzes perforated viscus is not given, patients often grow issues that can be life threatening. JME is an epilepsy syndrome that customarily begins in early life and contains myoclonic or GTC seizures in an in another way normal particular person. The myoclonic can cause University patient examination drop or fling items, especially in University morning. GTC seizures occur in as many as 90% of patients with JME, and University syndrome often presents with these. The myoclonic and GTC seizures often occur soon after awakening. Up exam 35% of sufferers with JME also have absence seizures. Seizures are exacerbated by fatigue, sleep deprivation, and alcohol use.