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GM case 9

Hii this is  k.priyanka,3rdBDS student.This is an online eblog book to discuss our patients health data after taking his consent . This is reflects my patient centered online learning portfolios Case scenario: An 23 yr old female occupation is store manager came to the hospital for he has an severe upper abdomen pain Chief complaint: C/O pain in the left side of abdomen in the upper quardant on and off since 1year. History of present Illness: Patient was apparently asymptomatic a year ago H/o loss of appetite (+), fatigue (+),(easy fatigulibilty) No H/o fever/cough/constipation/Nausea No H/o pedal edema /bleeding manifestation. History of past illness: At the age 13 started developing pain in the (L)hypocondrium dragging type radiating to left strenal region each episode lasting for one hour and aggregated on supine position and relieved when lying on proue position  Used medication for pain suggested by local rmp Frequency of pain :once in a month C/o sob on excretion and easy fatigul