General medicine case

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Chief complaint A 13yr old female patient presented to the opd with chief complaint of abdominal pain since 2 days. History of present illness: Patient was apparently asymptomatic 2 days ago then she develop epigastric pain radiating with moderate severity and gradually progressive. 2 episodes of vomiting since 2 days with food as content . PAST HISTORY  Pt is a known case of sickle cell anaemia since 2012  History of sickle cell crisis 5 yrs ago History of pancreatitis 2 yrs a

 This is online e log book to discuss for patients deidentified health data shared after taking her / guardians signed informed consent     Here we discuss our individual patient problems  through series of inputs from available global online community of experts with an aim yo solve those patients clinical problems with collective current  best evidence based inputs. A 27 year old male patient who is electrician by occupation came with chief complaints of pain in abdomen since 3 months . HISTORY OF PRESENT ILLNESS: patient was apparently a symptomatic 3 months back, then he had a trauma where his relatives beaten him with stick at the left hypochondrium region and then he developed mild diffuse abdominal pain associated with bilious vomiting projectile contains food particles , then the pain subsided on taking medications . After a few days he again developed pain abdomen at the left hypochondrium region and the pain radiating to back , then he went to government hospital where he und