A 14 year old male patient came with complaint of stomach pain

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: A 14 yr old male patient came to causality with a complaint of stomach pain since 15 days
HISTORY OF PRESENT ILLNESS : A 14 yr old male patient who is student by occupation was apparently asymptomatic 15 days back then he noticed continous dragging type of pain in the abdomen.
First patient visited local hospital and then came to causality  
HISTORY OF PAST ILLNESS :  
History of similar complaints 5 months ago
H/o chicken pox 1year back 
No h/o hypertension diabetes epilepsy asthma thyroid renal and cardiac problems 
FAMILY HISTORY : 
Similar complaints of his sister who passed away 
PERSONAL HISTORY : 
Unmarried 
Diet :mixed
Appetite : normal 
Sleep : adequate 
Bowel and bladder movements : regular
Micturation : normal
No addictions 
No known history of drug allergy
GENERAL EXAMINATION: patient is conscious coherent cooperative and well oriented to time place and person 
No h/o pallor cyanosis clubbing bilateral
  pedal edema  
H/o Edema of abdomen 
Vitals :
Temp : afebrile 
BP: 110 /70 
PP :82
RR :16
SYSTEMIC EXAMINATION :
CVS: no thrills and cardiac murmurs
S1s2 heart sounds heard
RS : no wheeze dysponea 
Position of trachea : central 
Abdomen :
Shape : schapoid
Liver not palpable 
Spleen palpable 
Bowel sounds : heard( 12 )
CNS : conscious
Speech normal
No neck stiffness 
PROVISIONAL DIAGNOSIS :
Splenomegaly
INVESTIGATIONS 
ECG 
 LFT 
 serum electrolytes
serum creatine: 0.6mg/dl(0.5 to 1)
Blood urea : 17mg /dl(12- 42)
Treatment :

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