Case Presentation

Presented by:
 Bio Data:
• Name: Aqsa Bilal
• Age: 22
• Gender: Female
• Blood group: AB +ve
• Date of admission: 12-06-2019
• Mode of admission: Emergency
• Department: Female Medical Ward
 Presenting Complaints:
• Fever (3 days)
• Vomiting (3 days)
 History of Presenting illness:
• My patient was in her usual state of health 3
days back when she started having intermittent
high grade fever.
• Patient also has 4 episodes of vomiting per day
which is aggravated by food intake but not
relieved by any factor.
• Vomiting is clear and often contains food
particles.
• There is associated decrease in appetite,
nausea and occasional pain in epigastric
region.
• There is no associated diarrhea, constipation,
hematemesis, melena, yellowish discoloration
of skin and sclera.
 Past Medical History:
• Diabetes mellitus: (-)
• Hypertension: (-)
• Asthma: (-)
• HBV/ HCV: (-)
• Tuberculosis: (-)
• Migraine: (-)
• Psychiatric disorder: (-)
• Ischemic heart disease: (-)
• Epilepsy: (-)
 Past Surgical History:
• Not significant
 Family History:
• Diabetes mellitus: (+)
• Hypertension: (-)
• Asthma: (-)
• Carcinomas: (-)
• Tuberculosis: (-)
• DVT/PE: (-)
• Ischemic heart disease: (-)
• Epilepsy: (-)
 Gynecological & Obstetrical
History:
• Not significant
 Drug History:
• Patient is not taking any medicine in routine.
 Personal & Social History:
• Patient is unmarried
• She is a student.
• She has dust allergic.
History of Blood Transfusion:
• History of blood transfusion in 2018.