Bds 2k19 General medicine prefinal examination

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A 17 year old female

              This is an online e-log platform to discuss case scenario of a patient with their guardians permission.   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 plan.  17 year old female came with the complaints of vomitings and loose stools since 1week CHIEF COMPLAINTS: Vomitings since 10 days Loose stools since 10 days Fever since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic One week back, then she developed loose stools and vomitings. Loose stools:- 4-5episodes, water in consistency, non foul smelling, no blood tinged. Vomitings:- 4-5 episodes, non projectile, non bilious,non foul smelling contents include food particles,Which subsided on taking medication. Fever was incidious in onset, associated with chills and rigor,which sub
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-45yr old female came to OPD with chief complaints of vomitings ,nausea and epigastric burning sensation

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CHIEF COMPLAINT -45yr old female came to OPD with chief complaints of vomitings ,nausea and epigastric burning sensation. HISTORYOF PRESENT ILLNESS -Pt was apparently normal 4yrs back then she developed burning micturition, pedal edema, right loin pain for which she visited  local hospital. -she diagnosed with rght renal caliculus with pyelonephritis  then referred to nims and there she went rght nephroctomy. -since 10 -15 days she has been suffering with nausea,vomitings and epigastric discomfort. - 4 to 5 episodes of vomitings with small quantity of food particles as it’s contents. -No blood in vomitings. HISTORY OF PAST ILLNESS -Right nephrectomy in 2018 TREATMENT HISTORY Not a k/c/o DM,HTN Not a k/c/o CAD,TB,asthma,chemo,radiation and blood transfusion. PERSONAL HISTORY Mixed diet Appetite Lost Sleep adequate Bowel movements regular. Micturition abnormal. FAMILY HISTORY Not significant  PHYSICAL EXAMINATION Temp- afebrile BP-130/80 mm hg Pulse rate-82/min Respiratory rate-16/min Sp
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