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LONG CASE FOR PRACTICAL EXAM:
A 25year old female patient,tailor by occupation, hailing from thummalagudam,came to OPD at 7:30 am with chief complaints of vomitings and loose stools since 3am the previous night.
History Of Presenting Illness:
patient was apparently asymptomatic few hours back then she developed vomitings:30 episodes, sudden in onset,non-bilious,non-projectile,initially food later water as content.It was associated with burning type of pain in epigastric region.
Also associated with loose stools:6 episodes, watery in consistency, not associated with blood or mucus,no foul smell.
H/o burning micturition since 3 days.
No h/o fever,no h/o intake of food from outside.
No h/o decreased urine output. No h/o hematemesis,malena
PAST HISTORY
H/o similar complaints 1yr back
Admitted in hospital for 2 days,pantop and NS are given and discharged.
Not a known case of diabetes, hypertension, tuberculosis, asthma, epilepsy. Surgical history:2 LSCS
PERSONAL HISTORY
Diet:mixed(prefers fast food,spicy food),habit of eating late nights.
Appetite:normal
Sleep:adequate
Bladder&Bowel movements:regular
Addictions:no addictions
FAMILY HISTORY
Not significant
DRUG HISTORY
used pantop for 2 days due to previous similar complaint.
GENERAL EXAMINATION
Patient is conscious, coherent, co operative. Moderately built and nourished. Well oriented to time,place,person.
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