A 28 year old female with pain in the right hypochondrium and umbilical region .

This is an online E log book to discuss our patients de-identified health data shared after taking his/her/guardian signed informed consent.Here we discuss Our individual patients problems through Series of inputs from available global online Community of experts with an aim to solve those patients Clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comments.

A 28 year old female came to hospital with pain in the right hypochondrium and umbilical region since 7 months .

History of present illness
Patient was apparently asymptomatic a 7months back and later developed pain in right hypochondrium which is of cholelithiasis the pain is not radiating the pain is relieved by taking medication .
No history of fever, vomiting, constipation, burning micturition.
History of past illness 
No history of diabetes mellitus , hypertension, asthma, TB. 
Personal history 
Occupation - house wife
Appetite -normal 
Diet -mixed
Bowels -irregular
Micturition-normal
No know allergies, addictions
No know family history 
Physical examination 
Vitals
Temperature - 98°f 
Pulse rate - 85beats / min
Bp- 120/80 mm Hg 
Spo2 -99%
 Systematic examination 

Cvs 
No thrills, cardiac murmurs 
Cardiac sounds s1s2 + 

Respiratory system 
No dyspnoea ,wheeze 
Position of trachea central 
Breath sounds vesicular 

Abdomen 
Shape - scaphoid 
No tenderness , palpable mass , bruits, free fluid 
Normal hernial orifices 
Spleen and liver not palpable 

CNS 
Level of consciousness - conscious 
Speech - normal 

Provisional diagnosis 
Cholelithiasis 
Medication 
1. Tab PAN 40mg 
2. Tab meftal scn 
3. Vitamin k 
4. Inj. Taxim 

Surgery was done 





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