GENERAL MEDICINE ELOG-10

80 year old female with pain abdomen since 2 months

HOPI:patient was apparently asymptomatic two months ago the she developed pain abdomen since 2 months which is intermittent,sharp,relived on medication
In supine position a mass is felt in the epigastric region assosiated with epigastric tenderness,nausea is present
Burning micturition is present since two months
NEGATIVE HISTORY:
No history of fever,loose stools,vomitings
PAST HISTORY:
Mass Is felt while urinating and defecating(uterine hernia)
No history of previous surgeries
PERSONAL HISTORY:
diet-mixed
Appetite -reduced
Sleep-adequate
Bowel nd bladder normal
No additions
FAMILY HISTORY:
no relevant family history 
GENERAL EXAMINATION:
Patient was conscious coherent well oriented to time place and person
No pallor,icterus,clubbing,cyanosis, lymphadenopathy,
Temperature-afebrile
Pulse-70beats /min



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