December 18,2021.
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A 34-year-old female patient presented to the casuality with chief complaints of vomiting since three days which is associated with giddiness and generalised weakness
History of present illness:
34 yrs old female ,daily labourer by occupation, resident of Choutuppal got married at the age of 15 has three children.
Patient was apparently assymtomatic six months back then she had complains of recurrent episodes of vomiting 2-3 episodes per day
Vomiting containing food particles, non-bilious, non-blood stained and it is of , non-projectile type.
Not associated with pain abdomen, no loose stools, no fever, cough, SOB vomitings - associated with nausea and loss of appetite
Patient complains of vomiting immediately after food intake or even after intake of water within half an hour vomits everything even the water.
Complains of weight loss
For the vomitings she visits to local hospital and RMP and got symptomatic relief
No history of headache blurring of vision
No history of chest pain tightness
No history of difficulty in swallowing, weakness tingling
Past history:
No history of such complaints in the past.
History of Surgery Tubectomy+
And 2 C-sections +
Personal history :
married
Occupation-daily wage labourer
Irregular bowel and bladder movememts:Constipation (once in 2 to 3 days)
No known allergies
Patient takes a mixed diet.
Normal appetite.
Altered sleep.
No addictions.
Poorly built.
Investigations:
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