44YEAR OLD MALE PATIENT WITH JAUNDICE
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A 44YEAR OLD MALE PATIENT WITH JAUNDICE
-bilateral pedal Edema since 20 days extending upto the knees
-yellowish discolouration of sclera and skin since 20days
-vomitings since 1week for about 2-3 episodes a day
History of presenting illness-
Patient was apparently asymptomatic 20 days back and then gradually developed Bilateral pedal edema putting type extending upto knees since 20days along with yellowish discolouration of sclera and skin since 20days.
Patient gives a history of yellowish discolouration of sclera since 1year which developed Gradually and resolved on Tab.UDILIV and Tab.LIV-52mg
He has been experiencing 2-3episodes of non-projectile vomitings with food as content,non-bilious,non-blood stained vomitings since 1week .
No h/o pain abdomen, abdominal distension , Malena ,loose stools , fever
• Has no family history of DM, HTN, asthma, TB, CAD, strokes, cancers, heart diseases.
A. Cardiovascular system :
• S1, S2 are heard
• No thrills and no cardiac murmurs
B. Respiratory system:
• No dyspnoea, no wheezing
• Position of trachea - central
• Breath sounds - Vesicular
• Crypts over left inferior and anterior area heard
C.Per Abdominal Examination:soft
• Shape of abdomen - obese
• No Tenderness
• No palpable mass , free fluids, bruits
• Liver, spleen not palpable
• Bowel sounds-present
D. Central Nervous system Examination:
• Pt is conscious
• Speech normal
• No neck stiffness, kerning's sign.
NFND
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