General medicine

14 yr old male with abdominal pain

This is online eblog book to discuss our patients deidentified health data shared after taking his or her guardian signed inform .Here we discuss our individual patients problems thorugh series of inputs from avaliable global online commity of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs 

14 year old Patient student by profession came to opd with complaint of abdominal pain since 15 days

History of  present illness 

A 14 year old male patient was asymptomatic 15 days back,then he noticed dragging type of pain in his abdomen which was very painful
He used few medications given by his local doctor
It didnt resolve then he came to our hospital 

History of past illness:

He was suffering with same type of pain 5 months ago
No history of hypertension, diabetes, asthama, tuberculosis, thyroid. 

Family history:

His sister used to get the similar type of pain

Personal history:

Apatite normal 
Sleep inadequate 
Mixed diet
Normal micturation 
Normal bowel movements
No Addictions 
No history of any drug allergy

General examination:

Patient is conscious, coherent, cooperative 
No history of pallor,icterus  clubbing, edema, lymphadenopathy 
History of abdominal pain

VITALS:

Temperature afebrile 
Bp 110/70mmhg
Pulse rate 82 bpm
Respiratory rate 16 cycles/min

SYSTEMIC EXAMINATION 

CVS 
No thrills ,no cardiac murmers
S1,s2 sounds heard

Respiratory system 
N9 wheeze 
No dyspnoea 
Position of trachea is central 

Abdomen
Liver nonpalpable
Spleen is palpable 
Bowel sounds heard

CNS 
No neck stiffness 
Normal speech

PROVISIONAL DIAGNOSIS:

Splenectomy 




Treatment:

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