47 years old female patient with cholelithiasis
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CHEIF COMPLAINT:
47year old female patient came to hospital with complaint of pain in the abdomen.
HISTORY OF PRESENT ILLNESS: A 47yr old female patient who is housewife was apparently had abdominal pain from onemonth and aggravates on taking oily foods and reduced by taking medication.
HISTORY OF PAST ILLNESS:
Not a k/c/o hypertension
Not a k/c/o diabetes mellitus.
No Tb,BA,CAD,CVD
PERSONAL HISTORY:
Married
Appetite: Normal
Mixed diet
Allergies:-No
Adequate sleep
Menstrual history:-
Age of menarche: 12yrs
Age of menopause : 45 yrs
Regular bowel movements
Normal micturation
FAMILY HISTORY:
No history of diabetes , hypertension
Asthma ,stroke.
GENERAL EXAMINATION :
Patient is conscious,coherent,coperative
No history of cyanosis, clubbing
Lymphadenopathy, pallor, edema
Physical status :moderately built
Adequate hydration
VITALS
Tempr-98.1F
PR- 82
RR-16
BP-120/90
SYSTEMIC EXAMINATION:
Cardiovascular system
Thrills: No
Respiratory system
Dyspnoea: No
Wheeze: No
Position of trachea-central
DIAGNOSIS
cholelithiasis
INVESTIGATIONS
Laparoscopic cholecystectomy
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