intern's elog

 I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties. 

Case presentation 
 48 yr old female resident of miryalaguda came to hospital with chief complaints of vomiting, loose stools,fever,facial puffiness sob pain abdomen since 4 days 
HOPI:
Pt. was apparently asymptomatic 4days back ,then she developed vomitings 6-8episodes per day ,watery,bilious, immediately after ingestion of food
C/o loose stools since 4days 8-10 episodes watery no h/o blood in stools
C/o fever high grade intermittent not associated with chills and rigor
C/o diffuse pain abdomen and abdominal distension since 1 day
C/o sob grade 3 since 1day 
H/o reduced urine output 
No h/o burning micturition,frothy urine
No h/o chest pain,pedal edema,palpitations
PAST HISTORY:
K/C/O diabetes since 5 yrs on OHA
HTN since 1 yr 

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