Prefinal Examination paper 2
A 45 yr old female with vomitings
THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . A 45 yr old female who is a housewife and resident of Nagarjuna sagar came to OPD with chief complaints of nausea and vomiting since 2days , heavy menstrual bleeding since 1 1/2 yr. HOPI: Patient was apparently asymptomatic 2 days ago then she developed vomiting which is bilious in nature, preceded by nausea,food as its content, aggravated on taking food and water,10 to 15 episodes per day and not relieved on medication. she also has heavy menstrual bleeding associated with clots [7/20;4 pads per day].Not associated with pain. She went to a local RMP.The symptoms have subsided for a month.Then sh...
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