19yrs old patient with c/c of Headache since 1 week,H/o Vomiting since 2 days
19years old patient came to Opd with chief complaint of headache since 1 week H/o of vomiting 2days back
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Chief complaints:
19 f with chief complaints of
Headache since 1 week
C/o vomiting 2 days back
C/o heaviness of chest since 2 days
C/o giddiness since 2 days 2 episode
19F intermediate student preparing for Btech entrance who lives in hostel presented with easy fatiguability, malaise and SOB on exertion since 10 days Vomiting and loose stools 7 days back and H/o grey coloured stool since 1 week.she noticed few drops of fresh blood during defecation.
HOPI:
•Patient was apparently Asymptomatic I month back, then she had 2 episodes of vomiting , non projectile, non bilious, food particles content.symptomatically a/w headache,
History of bleeding per rectum 1 episode - today
Headache - unilateral,throbbing type,non - radiating, ( - )photophobia,( - )phonophobia
Heaviness of chest: not associated with food intake, not associated with exertion
Past history:-
No similar complaints in the past
Not a know case of DM,ASTHMA,HTN,EPILEPSY,TB
Personal history
Diet: vegetarian
Appetite: decreased
Bowel and bladder movements: decreased
Appetite : decreased
Sleep : adequate
No addictions
Nutritional history:
Morning -
tiffen -idly,dosa,bonda,poori+chutney
Afternoon - sambar,curry,curd + rice
No snack
Night- curry, pickle,curd rice
Fruits - occasionally,
Vegetarian
Menstrual history: 3days/30 days,no clots,pain
H/o : irregular menstrual cycle
Menarche:17y
Patient is C/C/C well oriented to Time ,place and person
On examination:
Pallor is present
NO=icterus,cyanosis,clubbing,or generalised lymphadenopathy
afebrile
Bp 110/70mm/Hg
PR -104bpm
Rr- 22cpm
Temp-98.6f
Input/output-600/450 ml
Grbs-107mg/dl
INVESTIGATION:
Hemogram:
Ultrasound examination:
CUE:
Stool examination
Serum Calcium
