General medicine(4)
45 years old female came to OPD complaints of loss of appetite, vomiting and itching all over the since seven days. October 22,2022 Chief complaint : patient complaints of loss of appetite and vomitings and itching all over the body since seven days. -patient was apparently asymptomatic 4 years back and developed right loin pain and fever for which she visit NIMS and she also complaints of vomitings single episode immediately after taking food. History of present illness: - no fever -no headache -pain abdomen -chest pain -no loss of appetite since seven days. History of past Illness: - n/k/c/o- htn,DM,asthma,and cad Treatment history: -no diabetes -no htn -no cad -no asthma -no TB -no known history of taking antibiotics and chemo therapy, radiotherapy,blood transfusion Surgeries undergone: right nephrectomy. Personal history - married -occupation: farmer -appetite: lost -mixed diet -bowel and bladder: regular -micturition: normal - no known allergies -no addictione Fam...