40 year female patient with CHOLELITHIASIS

This is an online e-log book to discuss our patients 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 patients clinical problems with collective current best evidence based inputs .

CHIEF COMPLAINTS 
40 year female patient came to hospital with abdominal pain 
Patient complaints about pain in the abdomen.

History of present illness:-

Patient non apparently asymptomatic and then developed symptoms of pain in abdomen.

Fever intermittent

No case of burning micturition

History of past illness:-

 Not a k/c/o hypertension

Not a k/c/o diabetes mellitus.

No Tb,BA,CAD,CVA



Personal history:-

Married

Appetite: Normal

Allergies:-No 

Menstrual history:-

Age of menarche: 12yrs

Any gynecological problems; No.

FAMILY HISTORY:- 
Allergic history:-not known case of allergy.
Not allergic to pollen and any known drugs.

GENERAL EXAMINATION

Patient is conscious, coherent, cooperative.

Vitals during admission;

Temperature: Afebrile.

Pulse rate : 78/ min

BP:-120/80



SYSTEMIC EXAMINATION

Cardiovascular system

Thrills: No 

Respiratory system

Dyspnoea: No

Wheeze: No

Position of trachea-central 

Abdomen: 
Tenderness in right hypochondrium
Shape of abdomen: Scaphoid 

Diagnosis:- CHOLELITHIASIS
INVESTIGATIONS 
ECG Report:-
complete blood picture:
Liver function test:-
Bleeding and clotting time 
Blood Sugar Random
Complete Urine  Examination

TREATMENT:
Laproscopic Cholecystectomy.

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