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A 28 y old female patient came with c/o pain in  epigastrium and right hypochondrium  since 1 month 
Pt was apparently asymptomatic 1 month ago and then she developed pain in epigastrium and rt hypochondrium aching type , non radiating, with no aggrevating or relieving factors 
No c/o vomiting, belching ,fever , 
constipation ,  burning micturation , white discharge 

PAST HISTORY :- 
Seizure during pregnancy - was on medication till 2 years
2FTNVDS and tubectomised 
Not a k/c/o DM, HTN, CAD, CKD , ASTHMA , TB , EPILEPSY 

PERSONAL HISTORY - married housewife with normal appetite with non veg diet , regular bowels , normal micturation , no known allergies , NO ADDICTIONS .

NO SIGNIFICANT FAMILY HISTORY

MENSTRUAL HISTORY -
AOM- 16 YEARS
Menstrual cycle 28/3
LMP-15/10/21

OBSTETRICS FOMULA - G2P2L2

O/E pt is C/C/C MODERATELY BUILD AND NOURISHED 
NO PALLOR , ICTERUS , CYANOSIS , CLUBBING, LYMPHADENOPATHY , EDEMA 

Temperature -97.4°f
PR-72BPM
BP-110/70 mmhg
RR-16CPM
Spo2 at room air - 98%
GRBS-108 mg%

SYSTEMATIC EXAMINATION 
Abd- soft , non tender , non distended , no guarding /Rigidity
Cvs- s1s2 is heard , NO MURMURS
RS- BAE +
CNS-NAD

PROVISIONAL DIAGNOSIS 
INTERSTITIAL PANCREATITIS 2° to CHRONIC CHOLECYSTITIS

TREATMENT
Ivf NS,RL ,2.5D @150ml/h
Inj. Pan 40 iv/od
Inj. Zofer 4mg/iv/tid
Inj. Tramadol 1amp in 100 ml ns/iv/bd
Inj. Optineuron 1amp in 100 ml ns/iv/od
Bp,pr,spo2 charting


LFT ON 5TH
LFT ON 6 TH
RFT ON 6TH
On 11/11/21
Amylase-124
Lipase-52

Hemogram-
Hb-11.1
Tc-4000
N/L/E- 70/25/2
Pcv 32.1
Mcv-67.9
Mch-22.1
Rbc-5.02
Pt-3.17



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