A 28 YR OLD FEMALE PATIENT With ABDOMINAL PAIN AND DIARRHEA.
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Patient aged 28 years female house wife came to opd with chief complaints of loose stools since 20 days associated with abdominal pain and generalised
Weakness since 10 days
HISTORY OF PRESENT ILLNESS
It was apparently asymptomatic 30 days back then when stools started which is less in quantity assosiated with abdominal pain that relevied after patting stools not associated with any blood in stools associated with generalised weakness
HISTORY OF PAST ILLNESS
No H/o DM, HTN, Asthma , epilepsy, TB .
TREATMENT HISTORY
NO history of previous medication
PERSONAL HISTORY
Married
Mixed diet
Loss of appetite
Irregular bowel habit
Regular mensus
FAMILY HISTORY
NO H/O :-HTN,DM ,EPILEPSY ,TB
GENERAL EXAMINATION
NO pallor
.icterus
.cynosis
.lymphadenopathy
.clubbing
PHYSICAL EXAMINATION-:vitals
.temperature-:afibrile
.pulse rate -:82/min
.resp rate -:18/min
.Bp -:90/70
SYSTEMIC EXAMINATION
CVS-;
S1,S2 HEARD
NO MURMERS
RESPIRATORY SYSTEM-:
No dyspnea
No wheeze
Position of trachea -;central
ABDOMEN-:
Shape scaphoid
Flanks:full, umblicus: center position, inverted shape
Skin:no scars present no dilated veins seen
Movements of abdomen wall are equal with inspiration
PALPATION
Tenderness in right lumber region
No palpable mass
No palpable spleen and liver
CNS-:
Consious, coherent ,cooperative
Speech norml
No neck stiffness
SENSORY SYSTEM :-
Able to percieve-:pain , temp
INVESTIGATIONS: blood test, colonoscopy,
ULTRASOUD
PROVISIONAL DIAGNOSIS
● irritable bowel syndrome
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