18 yr old female patient came with c/o diffuse pain abdomen since 2 weeks C/o vomitings since 5 days C/o loose stools since 2 days C/o Fever on and off since 1 week HOPI: patient was apparently asymptomatic 2 weeks back then she had diffuse abdominal pain after eating hostel food (5 other people also had similar complaints ) treated conservatively From 5 days pt had increased intensity of pain in the lower abdomen- colicky type , intermittent , not radiating to back, sudden in onset pain not relieving on taking medication and associated with vomitings Vomitings - since 5 days (15-20 episodes ) Non bilious , non projectile , food as content . Loose stools from 2 days - watery in consistency , no blood in stools Fever on and off since 1 week not associated with chills and rigors Past history : not a k/c/o DM , HTN, Asthama , Epilepsy , TB , Thyroid . O/E: pt is c/c/c...
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