General medicine blog 1
GENERAL MEDICINE BLOG 1 Chief complaint: A 37 year old female who is a farmer by occupation and resides in Miryalguda came to the OPD with chief complaint of back pain from the last 6 months. History of present illness: The patient was apparently asymptamatic 6 months ago then she developed back pain on her left side. A week after her back pain developed, she experienced abdominal pains in the umbilical region. The type of pain she experienced was dragging type of pain that was radiating from the back to the front. She had no aggregating or relieving factors. She also experienced upper limb weakness at the point of time. She visited a local clinic where in some medication was given to her. The pain gradually subsisted on using the medication for a month, then she developed on and off fever which was associated with vomitings. She vomitted 2 times a day whenever she had fever. Her vomitings were projectile and yellow in color. Then she consulted a local doctor who prescribed