Hi , I am Samhitha ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolios

A 51 year old man, came to causality with complaints of Abdominal pain and vomitings 

HISTORY OF PRESENT ILLNESSES

Abdominal discomfort and vomitings


PAST HISTORY

Patient suffering with Type 2 DM  since 10 to 12 years(on medication)
Occasional alcohol consumption from 30 years
Stopped consumption of alcohol from 3 years

TREATMENT HISTORY

For DM 

PERSONAL HISTORY

Normal appetite 
Regular bowels
Normal micturition 
Mixed diet

FAMILY HISTORY

No hypertension
No diabetes
No heart disease
No cancers 
No asthma

GENERAL EXAMINATION

Temperature:98.6°F
Pulse rate : 82 per minute 
Respiratory rate : 16/min
B.p : 120/80
Spo :98%
Pallor absent
Icterus absent
Cyanosis absent 
No lymphadenopathy


SYSTEMIC EXAMINATION

 CVS

S1 ,S2 present
No cardiac murmurs

RESPIRATORY SYSTEM

No dyspnea 
No wheeze
Central position of trachea

ABDOMEN

Scaphoid shape of abdomen
No palpable mass
No hernial orifices
No bruits
No free fluids
No palpable liver and spleen

CNS

Patient is conscious 
No neck stiffness
No appreciable disease
Speech normal

BIOCHEMICAL INVESTIGATIONS 



ECG REPORT
ULTRASOUND REPORT 








TREATMENT 


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