Case of a 68 years old female with vomiting and loose stools.

June 21, 2023

Case of a 68 years old female with vomiting and loose stools.

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This is the case of a 68 years old housewife , resident of Cherlapally .

CHIEF COMPLAINT

Patient presents to the casualty with the chief complaint of

Episodes of Vomiting since 2 days

Episodes of Loose stools since 2 days

HISTORY OF PRESENTING ILLNESS

The patient was apparently asymptomatic 2 days ago , when she suddenly developed episodes of vomiting and loose stools . The episodes occurred simultaneously and the patient had around 8-10 episodes .

The vomitus was non projectile and contained the food and water consumed , was non bilious , not blood stained and not associated with retching .

The loose stools were green in colour , liquid in consistency , non blood stained and did not contain mucus and was associated with tenesmus and diffuse abdominal pain .

The patient consumed only water and no food .

1 day ago, the patient visited a hospital and was given therapy for dehydration . Since the dehydration became severe and the patient developed hypotension, the patient was referred to our hospital.

Similar episodes 4 months ago , that was treated using self medication.

The patient also complains of fever 2 days ago ,not associated with chills and rigor that lasted for about 2 hours and subsided on its own .

PAST HISTORY

Not a known case of DM, HTN ,Asthma , TB , CVD , Epilepsy .

History of operation bowel perforation 14 years ago .

History of Chikungunya 14 years ago .

History of generalised joint pains since 10 years .

DRUG HISTORY

Chronic use of painkillers.

Steroids for joint pain.

FAMILY HISTORY

Father and Brother - History of joint pains and deformities .