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34 year old female, homemaker by occupation has come with c/o :
Abdominal pain since 1 and a half year
Chest pain since 6 months
History of presenting illness :
In 2017, patient developed bilateral loin pain which was of stabbing type, non radiating, continuous, increases on movement.
Pain on standing up from sitting position +
In 2020, she was taken to a hospital where she was diagnosed with unicornuate uterus and bilateral polycystic ovaries.
She underwent laparoscopic ovarian drill.
In 2021, the patient had delivered her first child by Caesarean section (as the baby was in breech position)
Ever since, she complains of abdominal pain (epigastric region) which is insidious, pricking type, intermittent, non radiating and associated with bloating.
No h/o belching, regurgitation
No h/o constipation, nausea, vomiting
Patient complains of chest pain since 6 months which is insidious, pricking type, non radiating, not altered with food intake.
Pain is more at night, increases on lying down .
No h/o SOB, Palpitations
No h/o cough
Past History :
N/k/c/o HTN, DM, Thyroid disorders, CAD, Asthma and Epilepsy
H/O laproscopic ovarian drilling done in 2020 for B/L polycystic ovaries and unicornuate uterus.
General examination:
Pt is conscious, coherent and cooperative
No pallor , icterus , cyanosis, clubbing, lympadenopathy, edema
Vitals :
PR: 78 bpm
RR: 14 cpm
BP: 120/70 mmHg
GRBS : 103 mg/dl
Systemic examination :
CVS :
S1 S2 heard no murmurs
RS :
BAE NVBS +
P/A :
soft non tender
No free fluid.
Caesarean section scar +
Wrinkles +
Umbilicus everted
CNS : No FND
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