Sunday, 21 February 2016

45yrs old man with abdominal pain since 2month

Occupation__ former
Pain in abdomen since 2month....acidity and constipation..
Motion..pass of soft stool much straining...
Burning in chest...chest pain after exertion..


Urin pass drop by drop....no other complaining pain or burning....
Personal /history __
Occasionally smoking...n rajshree
Inspection _ normal no swelling
Palpation_ tightness in abd..
N pain
Thirst_ 2 _2 1/2 lit in a day.
Appetite _⬇ed

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