A 42YEARS MALE WITH YELLOWISH DISCOLORATION OF SCLERA AND URINE

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CHEIF COMPLIANT:

A 42 year old male  who is farmer by occupation came with the chief complaint of yellowish discoloration of sclera and urine since 1week 

HISTORY OF PRESENT ILLNESS:

patient was apparently asymptomatic 5 years back,then had similar complaint in the past and was ob for alcoholic abstinence.patient had a complaint of vomitings and loose stools 6to 7times a day  7days back.

HISTORY OF PAST ILLNESS

Patient is alcoholic since 15 years, last binge 10 days back.

N/k/c/o DM , BA, EPILEPSY.

PERSONAL HISTORY:

HABITS: alcoholic,he used to smoke few months back .

He follows a mixed diet. 

Appetite -Normal,

Bladder movements- normal 

Bowel movements- Normal . 

Sleep- Adequate.

FAMILY HISTORY: No significant family history.

GENERAL EXAMINATION : 

patient is conscious ,coherrent, co operative and well oriented to surroundings. He is moderately built and nourished.

No Pallor ,no cyanosis,  icterus++, no lymphadenopathy.