A 21 yr old female patient with a complaint of stomach pain and vomitings

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. 
CHEIF COMPLAINT :
A 21 yr old female patient  came to the causality  with a complaint stomach pain and vomitings since a day
HISTORY OF PRESENT ILLNESS:
A 21 yr old female patient  who is student by occupation was apparently  asymptomatic  then she noticed  continuous  stomach  pain (on menstruation)and had 8 to 9 episodes  of  vomiting 
PAST MEDICAL  HISTORY:
H/o appendix surgery 
PERSONAL HISTORY  :
Diet : mixed
Sleep : adequate
Appetite  : normal
Bowel and bladder movements  : regular
Micturation  : normal
Menstrual history : regular
GENERAL  EXAMINATION:
patient is conscious  coherent cooperative and well oriented to time place and person 
No h/o pallor  cyanosis  clubbing  edema
Icterus lympadenopathy 
Vitals 
Temp : 97.2F 
PR : 72
RR : 18
BP : 110 / 80
Built : moderate
Gait : normal
SYSTEMIC  EXAMINATION  : 
CVS :  no thrills  
No cardiac murmurs 
Cardiac sounds : s1 s2 +
RS : no wheeze 
No dysponea
Abdomen : 
Shape: scaphoid 
Tenderness  present in umbilical region
DIAGNOSIS :
Acute abdominal pain
Investigations :
TREATMENT  :

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