General medicine
Hello,I am Geetika Malladi 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.
A 46 year old patient, driver by occupation, came to the hospital with chief complaints of pain in abdomen and lower back.
HISTORY OF PRESENT ILLNESS
The patient was apparently asymptomatic 8 moths back.He has been suffering from gastritis from past 20 years and feels better after taking the medicines. He is unable to sleep properly since last 8 months due to pain the lower back.
PAST HISTORY
No DIabetes Mellitus,
No Hypertension
No TB,
No Epilepsy ,
No Asthma.
PERSONAL HISTORY :
Chronic cigarette smoker
Drinks alcohol occasionally
Diet- mixed
Appetite- normal
Has constipation
Sleep-inadequate
PHYSICAL EXAMINATION:
Patient is conscious and coherent
No pallor
No icterus
No clubbing
No pedal oedema
No lymphadenopathy
Malnourished/thin
No cyanosis
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