70 year old male with Epigastric pain
70 yr old male with Epigastric pain
27 July, 2023
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CHIEF COMPLAINTS
Epigastric pain since 5 days
HOPI
Patient was apparently asymptomatic & says back then developed epigastric pain which was insidious in onset and gradually progressive,non-radiating,squeezing type of pain
Not associated with nausea,SOB vomittings,chest pain, palpitations
C/O giddiness,sweating,decreased appetite since 3days
No C/O constipation/ loose stools
C/O fever since 2days - low grade, intermittent associated with chills and rigors, relieved by medication.
C/O burning micturition since 10days which is not associated with abdominal pain
No C/O decreased urine output, pedal edema, facial puffiness
PAST HISTORY
No H/o similar complaints in the past
Not a k/c/o DM,HTN,TB, EPILEPSY, CVA,CAD, THYROID DISORDERS,ASTHMA
PERSONAL HISTORY
Mixed diet
Normal appetite
Regular Bowel and Bladder movements
Sleep-Adequate
No allergies
Addictions- Daily toddy consumer since 30years
Stopped Tobacco smoking 20yrs back
GENERAL EXAMINATION
Patient is conscious coherent and cooperative
No signs of pallor,icterus,cyanosis, clubbing,lymphadenopathy and pedal edema