INTERNAL ASSESSMENT -2

B. VAISHNAVI
ROLL NO. -22
9 TH SEM

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40 yr old male patient who is daily wage labourer by occupation came to OPD with Chief complaint of pain abdomen since 5 days associated with fever since 2 days  HOPI Patient was apparently asymptomatic 5 days ago then he developed pain which is insidious in onset and gradually progressive which is  diffuse , squeezing  type and radiating to back . Pain is relieved on medication . No C/O of vomitings , loose stools , burning micturition ,cough,cold , chest pain , SOB  Past history:- N/K/C/O TB , hypertension, diabetes, Asthma, epilepsy , CAD, thyroid disorders . Personal hisrory:- Diet - mixed  Appetite- normal Bowel and bladder -regular Sleep - adequate Addictions - regular alcohol  intake of 250 ml per day  since 20 yrs . No food allergies and drug allergies General examination:- Pallor - yes  Edema -absent  Clubbing - absent  Lymphadenopathy - absent  Icterus - absent  Cyanosis absent  Vitals:- Temperature - 100.1F BP-85/60 Spo2- 98% RR-20pm PR- 100/min Systemic examination:- Per ab
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