A 60 YR OLD FEMALE CAME WITH BURNING SENSATION

 

A 60 YR OLD FEMALE CAME TO OPD WITH C/O EPIGASTRIC PAIN SINCE 3 MONTHS

PATIENT WAS APPRENTLY ASSYMPTOMATIC 3 MONTHSN AGO THEN SHE DEVELOPED BURNING SENSATION OVER THE STOMACH ASOCIATED WITH EPIGASTRIC REGION PAIN SINCE 3 MONTHS

NO GENERALISED WEAKNESS ASSOCIATED WITH NO SHORTNESS OF BREATH S NO H/O COUGH NO H/O CHEST PAIN PALPITATIONS

H/O DRINKING KALLU SIINVE 20 YR

H/O TEA SINCE 8 TIMES /DAY

GENERAL EXAMINATION:

PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON.

NO PALLOR,ICTERUS CYANOSIS,CLUBING,LYMPHADENOPATHY,EDEMA.

VITALS:

TEMPERATURE:99 

BP:100/60 MM HG

PR:84 BPM

RR:18 CPM

SYSTEMIC EXAMINATION:

CVS:S1,S2 HEARD NO MURMURS.
CNS:NO FOCAL NEUROLOGICAL DEFICITS

DERMA REFERAL DONE I/V/O PAPULES ON LEFT SHOULDER

ADVIVE

MOMATE F CREAM L/A BD 1 WEEK

T. TECZINE 5MG OD 1 WEEK



TAB RABIKIND DSR PO/OD  X 15 DAYS

7AM -

TAB NEUROBIONE FORT PO /OD FOR 30 DAYS

2 PM

SYP SUCRALFATE 10 PO/BD 

1PM AND 7 PM

MOMATE F CREAM L/A BD 1 WEEK

T. TECZINE 5MG OD 1 WEEK

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