60 YR OLD MALE WITH COMPLAINTS OF VOMITINGS , DIARRHOEA

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 CASE :

A 60yr old male came to the casuality with chief complaints of  

1. fever,numbness and tingling sensation in lower limbs since last night 
2. 3-4 episodes of vomitings and loose greenish stools since today early morning

HISTORY OF PRESENT ILLNESS :

• Patient was apparently asymptomatic 1day ago. Then he felt tingling sensation and numbness in his lower limbs.
• Next day ,early in the morning he had 3 episodes of vomitings and passage of loose ,green coloured stools.

PAST  HISTORY :

NO H/O DM ,HTN ,ASTHMA , EPILEPSY , TUBERCULOSIS ,    

  

PERSONAL HISTORY :

• Mixed Diet
• Decreased Appetite
• Adequate Sleep
• Decreased Micturition 
•  Regular Bowel Movements 
• Consumes Alcohol and beedis regularly 

GENERAL EXAMINATION  

The patient was examined in a well lit room after taking consent.

• The patient is conscious, coherent and cooperative.
• He is well oriented to time, place and person.
• He is moderately built and moderately nourished,

1. NO PALLOR 
2. NO ICTERUS 
3. NO CYANOSIS  
4. CLUBBING IS PRESENT 
5. NO GENERALISED LYMPHADENOPATHY  
6. NO PEDAL EDEMA  

   

   CLUBBING

   
   

VITALS :