University:
Johns Hopkins University
Course:
ME.250 | Medicine
Academic year:

2021
Views:

325

Pages:

6
Author:

Grace Scott

History 1. patient particulars 2. Chief complamb:- (with duration in chronological order) pain abdomen for years/months. Vomiting sensation at fullnes after mealo. yellowish discoloration of eyes and urine. associated other history (positive/negative) is vomitting of blood/ black tuny stook uppr 12 bleed / gastritis esophageal voices (portal H7N loss of appetite /ut loss (CA stomach) penampalloy (A) alteration of bowel habib is tiver swelling of abdaren. jaundire yellowesh dowloration of eyes and wine duration onet any lo billary colic proynesscon (waxing and wanning in progniwire in perampullay CB stones/ CBD stores) carcinoma ig associated I symptoms such as fever / lassat appetite lokin rosh assoweded i fruritus/ day colond stel obutuctive jaundice chills and rigere cholongites. othening bowel habib present bonvel hobi't any change black turry shoel out lois / low of afledite duration amount (estimate) I heneral suney pallor ictenus gevinalind skin surtau/color/pruritus. 2. Locoregional examination: - A. Inspection:- Content, position supive, roposure:- mid chut to mid thigh dy shape / contou of abdomen normal/scaphoid / distended. Umbilicus - b/w xiphisternum & symphysis pubis inverted Ideeply immuted/ flushed/ everted. (ii) skin our the abdomen-watch for operative sear/pigmentation ay engorged veins (portal HTH) I heneral suney pallor icterus gevinalind skin surtau/color/pruritus. 2. Locoregional examination: - A. Inspection:- Content, position supive, roposure:- mid chut to mid thigh dy shape / contou of abdomen normal/schaphord / distended. umbilicus - b/w xiphisteronum & symphysis pubis inverted Ideeply immuted/ flushed/ everted. (ii) skin our the abdomen-watch for operactive sear/pigmentation and engorged veins (portal HTH)