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E LOG of Ruchitha

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60 year old woman, who previously worked as a coolie  presented with the chief complains of  Pain abdomen since 1 :30pm yesterday  Followed by 2 episodes of vomitings  She attained menarche at 15 yrs age and she got married to a daily laborer. She has given birth to 8 children ( 4 daughters , 4 sons).  18 years back she got dyspneic on a cold winter night when she was rushed to a local hospital and was put on budecort and ashtalin as told by the attendant. Ever since then she has been experiencing dyspnea and cough during winters and has everytime been using levosalbutamol and budecort inhaler.  15 years back she got admitted in a hospital with fever when she was told that she was diabetic and was put on oral medications which she has been using regularly since then.  She has been occasionally consuming alcohol around 90 ml of whiskey once a month. 4 days back she consumed 90ml of whiskey when all her family got together and also tells she ate home made chicken last night. She  present
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e log

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15 yr old woman, in her intermediate second year, whose father is a farmer and mother is a daily laborer and has 2 elder siblings (elder sister who is in B tech first yr and twin brother passed his inter 1st yr) residing at Duppali, Nalgonda district presented to the opd with the chief complains of Generalised weakness since 1 month  Loss of appetite since 1 month  Headache since 1 month Yellowish discoloration of sclera and  urine since 1 week Vomitings since 3 days  She attained menarche 6 months back since then she has been having regular cycles, 2 pads per day, 5/30, she skipped her cycle last month otherwise her cycles have been regular.  She was apparently alright 4 years back when she started feeling weak, found it difficult to participate in sports, her parents even observed she was getting pale then she was taken to a local hospital where she was told that  she had anemia and was given medications. She was not given any blood transfusions.  She continued with normal daily acti
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E log of p. Ruchithareddy

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Hello everyone its me Ruchitha. I have joined in the medicine posting recently. Here Iam presenting  a case of I have followed  CASE: A Female patient who is daily labourer in occupation of age 55 years  walked in to casualty with the chief complaints of the distension of the abdomen since last 10 days.  Present illness :She is apparently asymptomatic 2 years back, when she first developed pain in abdomen which was dull aching type, which was localized to the epigastrium and left hypochondrium pain was insidious in onset and it got aggravated with food intake pain used get relieved through self induced vomiting. She also stated that she is having early satiety and started lossing her weight. Which she first observed that her clothes becoming loose ( thickness in the lips and temporal wasting). She also stated that she is progressively becoming fatigued such that she has to finally stop going to her work .she also complained that once she had a involuntary vomiting which  was frank bloo
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