acute appendicitis with h/o diabetes

Welcome and greetings to every one who are visiting my blog. This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan.

CHEIF COMPLAINT

20yrs /F  nurse by occupation came to OPD with c/o Pain in abdomen  on 22/3/22 and 3 episodes of vomitings

HOPI(History of present illness):

Patient was apparently asymptomatic 6months ago
Then one day she developed epigastric pain 
And there is no history of Vomitings and nausea ,fever,
No history of burning micturation
No history of gravel urine

PAST HISTORY:
h/o of Diabetes type I
Not a K/c/o HTN , BA , Thyroid disorder and Epilepsy.

PERSONAL HISTORY:
Diet - mixed
Appetite - normal
Sleep - adequate
Bowel and bladder movements - regular
She have no habit of drinking alcohol 

FAMILY HISTORY:
No similar history in the family

GENERAL EXAMINATION:
-Patient is conscious,coherent and cooperative at the time of joining 

-No pallor 

-No icterus

-No lymphadenopathy 

-No cyanosis 

-No clubbing of fingers

-No edema of feet

-No malnutrition

-No dehydration 

 ▪️VITALS:
Temperature - 98F
Pulse rate - 83 bpm
Respiration rate - 12cpm
BP - 110/70 mmhg
Spo - 99%

SYSTEMIC EXAMINATION:

▪️CVS

-no thrills 

-no cardiac murmurs

S1&S2 sounds are heard

▪️RESPIRATORY SYSTEM 
No Dysponea
No Wheeze 
Vesicular beath sounds


▪️CNS
 No nerological defect

Investigation

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