62year female with yellowish discoloration of eyes
Admission -13/1/22
60/F came to casualty with c/of pain abdomen since 1 month
Yellowish discoloration of eyes since 15 days
Vomitings since 15 days
sob since 15 days
Decreased appetite since 15 days
Patient was apparently asymptomatic 1 month back
Had H/of pain abdomen on and off since 1 month - insidious onset, intermittent , diffuse and burning type of pain associated with decreased appetite taking only fluids since 15 days f/by vomitings - bilious, non- projectile, food or water as content whenever patient is taking oral feeds
Yellowish discoloration of eyes since 15 days
Sob since 15 days inscidious onset gradually progressed from grade 2 to 3 associated with pedal odema and decrease urine output
not associated with fever, cold, cough, orthopnea and PND
No pale coloured stools, mucous , blood or dark coloured stools
0/examination: pt-conscious and tachypnic
Afebrile
Icterus +
No pallor, cyanosis, clubbing, lymphadenopathy
PR - 90 bpm
BP- 130/80 mm of hg
RR - 34 cpm
Spo2 -88 with RA
98 with 2 L of oxygen
GRBS : 85 mg /dl
P/A - soft, tenderness + in epigastric region , right hypochondrium and umbilical region
R/S : fine crepts + in B/L IAA ,ISA
Decreased breath sounds in right IAA and ISA
CVS - S1 and S2+
CNS - NAD
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