36YRS MALE WITH ABDOMINALPAIN

Chief complaints:

          35 yr old male came to opd with chief complaints of abdominal pain since 1week


History of present illness:

          Patient was apparently asymptomatic 1 week back then he developed abdominal PAIN(loin).  Which is insidious in onset, gradually progressive dragging type of pain,no aggrevating or relieving factors,pain radiating to back.. associated with vomiting non biliary,non projectile 
Pain not associated with fever,
 distention of abdomen.

Past history: 
      
          Known case of hypertension since 8yrs
         Known case of ckd since 6 yrs on MHD

NO H/O DM, Epilepsy, bronchial asthma ,TB

H/o. CKD::
       patient suffered from PEDAL OEDEMA, DECREASED URINE OUTPUT,SOB.
 Previously.,,6yrs back and same symptoms 3 months back.

Personal history::

Appetite:normal
Diet :mixed
Bowel: regular
Addictions:no

Treatment history::

For HTN NICARDIA 10MG od
No food and drug allergies

General examination::

Prior consent patient examined in a weel lit room

No pallor, ICTERUS,CYANOSIS, PEDAL OEDEMA,LYMPHADENOPATHY

Vitals::

Temperature: afebrile
Bp:170/110mmhg
Pulserate:98b/min
Spo2:98%
Rr:22c/min

Local examination::

ABDOMEN:
Temperature:afebrile
Tenderness:no
Palpable mass:no
Free fluid:no
Liver:not palpable
Spleen:not palapable
Bowel sounds : present
CVS::
S1S2 HEARD
NO cardiac murmurs
CNS::
Conscious
Speech:normal
No neck stiffness
kerning sign:-ve

RESPIRATORY SYSTEM::
No dyspnoea,wheeze
Position of trachea:central
B/Lsymmetrical
Vestibular breath sounds heard

Investigations::
Provisional diagnosis:;

 CKD ON MHD 

MANAGEMENT::

Tab.nicardia.od 10mg
Hemodialysis






Comments

Post a Comment

Popular posts from this blog

61YRS WITH K/C/O BRONCHIAL ASTHMA AND K/C/O CAD UNDERWENT S/P PTCA

Image
This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. I have been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with a diagnosis and treatment Chief complaints::   Patient came with c/o cough since 18months Shortness of breath since 1yr Chest tightness and epigastric pain since 1yr History of present illness:: Patient was apparently asymptomatic 18months back then he developed  cough insidious in onset gradually progressive,dry, ...
Read more

22YR OLD WITH VOMITINGS AND ICTERUS

Image
This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. I have been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with a diagnosis and treatment CHIEF COMPLAINTS:::  PATIENT CAME TO OPD WITH C/O VOMITINGS SINCE 1WEEK YELLOWISH DISCOLOURATION Of EYES SINCE 1WEEK HISTORY OF PRESENT ILLNESS:: PATIENT WAS APPARENTLY ASYMPTOMATIC 1WEEK AGO THEN HE DEVELOPED VOMITINGS 3-4 EPISODES/DAY WITH FOOD MATERIAL AS CONTENT, NON BILIOUS, NON BLOOD TING...
Read more

45 yr old male with shortness of breath

Image
Chief complaints::   A   45 year old man came to the casualty complaining of  shortness of breath since 10 days.and swelling of lower limbs since 10 days History of present illness::: ..He was apparently asymptomatic six years ago, then he had an episode of fever for which was admitted to the hospital. . He was diagnosed with malaria. .He was diagnosed with Diabetes Mellitus as well. Then, 3 years ago , he had an another episode of fever for which he consulted a physician  He was found to have Viral Pyrexia and was diagnosed with Hypertension. Then around 1 year ago , one morning he had an episode of weakness of the right arm for which he was advised to undergo physiotherapy.  After 6 months of physiotherapy, the family thought he might get dependent on it so discountined. On September 2nd 2021, he came to the casualty with complaints of generalised swelling and shortness of breath since 10 days. Which was insidious in.onset gradually progressive from grad...
Read more