PERNICIOUS ANAEMIA AND FEVER

This is online E- blog ,to discuss out patient de-identified health data shared after taking her guardian's signed informed consent.

Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input.

This E- blog also reflects my patient's centred online learning portfolio.

I have been given This case to solve in ab attempt to understand the topic of "Patient Clinical Data Analysis " to develop my competency in reading and comprehending clinical data including history clinical findings,investigations and come up with a diagnosis and treatment plan.

CHIEF COMPLAINTS:

Patient complains of pain in the abdomen after having food since 3 days

HISTORY OF PRESENT ILLNESS:

A patient came to OPD with the complaint of pain abdomen at left hypochondral region 6 hours after having food,relieved after taking medication for pain. Incidentally also found out that she has low Hb and admitted for further management while on medication for abdominal pain.

Nausea vomiting 3 episodes

HISTORY OF PAST ILLNESS:

20 years ago patient had history of giddiness, upon consultation she found out to be a hypertensive and on medication till date.

2 years ago patient had history of white and bloody discharge from the vagina and sought for consultation and diagnosed CA CERVIX STAGE 2 B and underwent radiotherapy for 1 month 3 years ago

History of similar complaints from the past 5 years.

4 years ago alleged history of fall from auto and fracture of right femur that was fixated with proximal femoral nail.

PERSONAL HISTORY:

APPETITE: NORMAL

DIET : MIXED

BOWEL MOVEMENTS:NORMAL

BLADDER MOVEMENTS: NORMAL

NO ADDICTIONS

NO KNOWN ALLERGIES

FAMILY HISTORY:

NOT SIGNIFICANT

GENERAL EXAMINATION: