Case presentation 9

December 12, 2021

11.11.21

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Chief complaint:

A 70 year old male presented to OPD with c/o constipation since 20 days (on and off).he was nott passing stools and Flatus since 5 days

Shortness of breath since 5 days.

History of present illness:

Patient was apparently asymptomatic 2 years back and then he developed pain in abdomen in epigastric region localized.

Since 1 year patient complains that he used to wake up in the middle of night and felt breathless for a while. Since 20 days patient complains of generalised weakness with loss of appetite and has constipation with small quantity of hard stools. Since 5 days patient complains he didn't pass stools and flatus which makes him discomfort associated with pain abdomen and developed shortness of breath.

Personal history:

Patient takes mixed diet and lost his appetite since 20 days and disturbed sleep because of pain in the epigastric region.

History of Smoking (Sutta) and BD since 50 years. chronic alcoholic drinks 90ml whiskey daily.

General examination:

Patient is conscious, coherent, cooperative.

No pallor, icterus, clubbing, lymphadenopathy, edema

Vitals:

Temp: afebrile

Pr: 90 bpm

Rr: 20 cpm

Bp: 130/80 mm hg

Spo2: 98%