general medicine

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday  Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night.  HISTORY OF PAST ILLNESS: N/K/C/O HTN,

CHIEF COMPLAINT: 31 yr old male patient ,farmer by occupation came to casuality with a chief complaint of abdominal pain since 5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 yr back then started drinking alcohol with friends occasionally which then gradually turned into a habit. Since then patient used to consume 90-180mg/ 7 days a week for approximately for 6-7 yrs till 20 days back. 15 days back patient complained of Abdominal pain gradually Progressive, Aggrevated after food consumption.Having similar complaints of Episodes and abdominal pain for every 6months /1 year over the last 6 years.patient went to a local hospital where he was diagnosed with Chronic pancreatitis. HISTORY OF PAST ILLNESS: No history of HTN,DM,CAD,TB,epilepsy PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alcoholic regularly GENERAL EXAMINATION: patient is Conscious,coherent and cooperative  -No pallor -No icterus -No lymphadenopathy -No