67 old male patient with pain abdomen
67 year old pateint with pain abdomen since 4 days - November 28, 2023 G.Aksharakruthi Rol l no 40 Patient came to OPD with chief complaints of pain abdomen since 4 days HOPI : Patient was apparently asymptomatic 4 days back then he developed pain in the abdomen, insidious in onset, gradually progressive dragging type,aggravated on doing work ,after consumption of alcohol ,not associated with nausea,vomitings No h/o fever,cold,cough No h/o constipation ,diarrhea H/o burning micturition Past history N/k/c/o HTN, Asthma, epilepsy,TB , CAD,CVA No h/o surgeries in the past No H/O blood transfusion No h/o radiation exposure Personal history: patient is farmer by occupation Diet mixed Appetite decreased since 4 days Sleep adequate Bowel regular Micturition not normal Burning micturition SLEEP ADEQUATE. Addictions regularly consumes alcohol about 90 ml/day Since 30 years Daily routine:- Patient wakes up at 6:30 to 7:30 am in morning approx. and goes to farm for about 1 and ha