General medicine case-7

November 20, 2021

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CHIEF COMPLAINTS:-

A 60 yrs old male, goat farming by the occupation presented to the opd with the cheif complaints of Distended abdomen since 20-30 days, pain in the abdomen since 1 week, decreased urine output since 2days and constipation since 2 days.

HISTORY OF PRESENT ILLNESS:-

Patient was apparently asymptomatic 1 month back then he developed abdominal distension since 20-30 days which is progressive in nature and is associated with pain since 1 week with decreased urine output and constipation since 2days.

Patients daily routine is, he wakes up at early in the morning 5:30. He will have his food at 9'0 clock.He goes to his work at morning 11'o clock. He takes dinner at 8'o clock and sleep by 10'o clock.

PAST HISTORY:-

There is no history of hypertension, diabetes mellitus , tuberculosis, asthma, and epilepsy

There is no history of any surgery.

PERSONAL HISTORY:-

Married

Patient takes mixed diet.

Sleep- increased pattern of sleeping

Appetite- normal

Bowel moments are regular.

Occasionally drinks alcohol.

Gutka chewer since 7months.

GENERAL EXAMINATION:-