60yrs female pt complaints with nausea since 20 days and diarrhea since 1 yr

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acute pancreatitis with alcohol dependency

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This is a case of 45 yr old male came to general surgery op with a chief complaints of of pain in abdomen ,fever , vomitings since one day  Patient was apparently asymptomatic one day back after which he started developing pain in abdomen ( colicky type,non radiating,no aggregating or relieving factors  H istory of present illness H/o of vomitings (4 episodes) Bilious non projectile H/o fever low grade  No h/o loose stools No h/o outside food consumption  He had similar complaints in 2018 and had hospital admission  Past history  Alcohol consumption and have alcohol dependency : He started consuming alcohol in the form of whisky because of peer pressure  H/o alcohol consumption (1 beer/ day ) Consumes alcohol from 16 yrs  Had a break of 2 years of drinking whisky and again started drinking in a occasion from past 8months (4-6units/day ) Tobacco consumption (smoking): 4 yrs back (1 packet /2-3days) He is having sleep disturbances  Continued dr...
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metabolic syndrome with diabetes and hypothyroidism

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Chief complaints: Patient presented with a chief complaints of backpain with burning micturition and less urine output C/o diabetes since 15 years  C/o hypertension C/o hypothyroidism History of presenting illness: Patient was apparently asymptomatic 20days back then she developed back pain (dragging and pricking type of pain ) with less urine output , difficulty in voiding out urine  H/o burning micturition H/o cough since 20 days H/o Fever since 3 days ( on and off onset ) , intermittent fever  Not associated with chills and rigor H /o acidity  H/o headache  H/o blurring of vision ( cataract) H/o pedal edema (pitting type) H/o abdominal distension  Negative history: No h/o palpitations No h/o chest pain No h/o asthma  No h/o cad Past history: Diabetes since 15 years ( insulin 20 units) in the morning and also takes tablets for diabetes C/o hypertension C/o hypothyroidism since 5 yrs Generalized swelling since 10 to 15 yrs General examination: Pallor:...
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