Posts

50 yr old male with pain abdomen since 5days

Image
Chief complaints   A 50 year old male resident of nalgonda presented to opd on 2/1/23 morning with chief complaints of pain Abdomen since 6hours.  History of present illness:  Patient was apparently asymptomatic 6hours then he developed pain Abdomen which was sudden in onset at 12am on 2/1/23 and gradually progressive. Pain was diffuse but more in umbilical and left lumbar region. It was colicky type and non radiating but continuous in nature. History of alcohol intake present. There are no aggravating and relieving factors. No h/o fever, nausea, vomiting and loose stools.  Past history  :  Similar complaints in the past 2 years back  and was diagnosed as Acute pancreatitis.  Patient is know case of diabetes since 2 years and is on medication. Patient is not a know case of Hypertension, Asthma, tuberculosis, thyroid abnormalities and epilepsy.  Family history: not significant  Personal history:  Daily routine : He wakes up at 8am an...

65 yr old patient with pain in lower abdomen and Shortness of breath

Image
A 65-year-old male patient  who is a farmer once(stopped working 6 years back)came to the medical OPD with the  Date of history taking:- 5/12/22 Date of examination:- 5/12/22 CHIEF COMPLAINTS:-  Pain in the lower abdomen since 8 days  Shortness of breath since 8days HISTORY OF PRESENTING ILLNESS:-  The patient was apparently asyptomatic 8days back then he  experienced diffuse pain all over the abdomen which was insidious in onset and was not radiating and relieved on temporary medication ( drug - unknown; dose unknown; indication - unknown ) character of pain (?) He also developed shortness of breath 8days which was insidious in onset grade 3 ( sob on normal physical activity) which was relieved on medication ( drug unknown; dose - unknown)  It is associated with productive cough ( which has mucous as content scanty in quantity; white in colour; and no foreign bodies)  fatigue; sweating ;  NO H/O of Hematemesis, Malena, Vomiting, ...