Priyadarshini

27 YEAR OLD P3L3A1 TUBECTOMISED CAME WITH COMPLAINTS OF WHITE DISCHARGE SINCE 7 YEARS LMP- 10/9/23 HISTORY OF PRESENTING ILLNESS- PATIENT WAS APPARENTLY ASYMPTOMATIC 7YEARS BACK THEN DEVELOPED WHITE DISCHARGE WHICH IS THICK, MUCOID, WHITE IN COLOUR, PROFUSE IN QUANTITY, NOT ASSOCIATED WITH ITCHING IT FOUL SMELLING. HISTORY OF ABDOMINAL PAIN, SUDDEN IN ONSET, NON PROGRESSIVE IN THE EPIGASTRIC REGION, PRICKING TYPE OF PAIN, INTERMITTENT, AGGRAVATED ON EXERTION AND RELIEVED ON REST.  NO HISTORY OF BACK PAIN.   HISTORY OF DYSPAREUNIA SINCE 4 YEARS NO HISTORY OF POST COITAL BLEEDING. NO HISTORY OF MENSTRUAL IRREGULARITIES OR COGNITIVE DYSMENORRHOEA. HISTORY OF BURNING MICTURITION SINCE 4-5 YEARS, USED MEDICATIONS.  NO HISTORY OF URGENCY, FREQUENCY OR SUPRAPUBIC PAIN. HISTORY OF SIMILAR COMPLAINTS IN THE PAST AND USED MEDICATIONS (INJECTIBLE ANTIBIOTICS AS TOLD BY THE PATIENT. DOCUMENTS NOT AVAILABLE) SYMPTOMS SUBSIDED ON USING MEDICATIONS AND RETURNED AFTER STOPPAGE OF MEDICATION.  HISTORY

  35 YEARS OLD P3L2D1 TUBECTOMISED WITH COMPLAINTS OF LOWER ABDOMINAL PAIN, WHITE DISCHARGE AND BURNING MICTURITION SINCE 1 WEEK. HISTORY OF PRESENTING ILLNESS- PATIENT WAS APPARENTLY ASYMPTOMATIC 1 WEEK BACK THEN SHE DEVELOPED PAIN IN THE LOWER ABDOMEN / DIFFUSE ABDOMINAL PAIN / LOWER - SUPRAPUBIC REGION, CONTINUOUS, NON PROGRESSIVE, PRICKING TYPE, NON RADIATING, NO AGGRAVATING OR RELIEVING FACTORS ASSOCIATED WITH NAUSEA AND BURNING MICTURITION. NOT ASSOCIATED WITH LOOSE STOOLS, VOMITINGS, CONSTIPATION, FEVER.  NO HISTORY OF OUTSIDE FOOD INTAKE. PATIENT HAD VISITED PRIVATE HOSPITAL IN MIRYALGUDA FOR SIMILAR COMPLAINTS. BUT PATIENT DID NOT GET TREATED THEN AND CAME TO KIMS NARKETPALLY. HISTORY OF WHITE DISCHARGE SINCE 1 WEEK (CURDY WHITE) AS TOLD BY THE PATIENT AND ASSOCIATED WITH FOUL SMELL. NOT ASSOCIATED WITH ITCHING. COMPLAINTS OF BACK PAIN SINCE 1 WEEK, DRAGGING TYPE, NO AGGRAVATING / RELIEVING FACTORS. HISTORY OF BURNING MICTURITION SINCE 1 WEEK. NO DYSURIA, NO INCREASED FREQUENC

  POD - 3 UNDERWENT EMERGENCY EXPLORATORY LAPAROTOMY WITH LEFT OOPHORECTOMY IN VIEW OF 35 YEAR OLD P3L3 POST HYSTERECTOMISED WITH SPONTANEOUS RUPTURED LEFT OVARIAN CYST   35    YEARS OLD P3L3 POST HYSTERECTOMISED WITH 3 PREVIOUS LSCS WITH COMPLAINTS OF PAIN IN THE LEFT ILIAC FOSSA SINCE TODAY (12/9/23) MORNING 7 AM HISTORY OF PRESENTING ILLNESS- PATIENT WAS APPARENTLY ASYMPTOMATIC TILL YESTERDAY MORNING AFTER THAT SHE DEVELOPED SUDDEN PAIN IN LEFT ILIAC FOSSA, CONTINUOUS DRAGGING TYPE RADIATING TO GROIN. NO AGGRAVATING AND RELIEVING FACTORS. HISTORY OF BURNING MICTURITON WITH INCREASED FREQUENCY SINCE YESTERDAY AFTERNOON WHILE PASSING URINE FOR WHICH PATIENT WENT TO LOCAL DOCTOR WITH SIMILAR COMPLAINTS. TOOK INJECTION AROUND 7 PM ON 11/9/23. PAIN GOT SUBSIDED (NO DOCUMENTATION AVAILABLE) NO HISTORY OF VOMITING HISTORY OF 3 EPISODES OF STOOLS WITH NORMAL CONSISTENCY HISTORY OF FEVER 10 DAYS BACK FOR WHICH SHE TOOK TREATMENT IN KIMS NARKETPALLY PAST HISTORY PATIENT HAD SIMILAR COMPLAINTS

  24 YEARS OLD P2L2A1 WITH 2 PREVIOUS LSCS CAME FOR PERMANENT STERILIZATION. HISTORY OF PRESENTING ILLNESS- PATIENT WAS APPARENTLY ASYMPTOMATIC  NO COMPLAINTS OF PAIN ABDOMEN, FEVER, COUGH, COLD NO COMPLAINTS OF LOOSE STOOLS, CONSTIPATION , NAUSEA, VOMITING NO COMPLAINTS OF MENSTRUAL IRREGULARITIES, HISTORY OF ABORTION IN THE MONTH OF JUNE, SPONTANEOUS ABORTION AT 1ST MONTH. D AND C    NOT DONE. CHECK SCAN NOT DONE.  NO COMPLAINTS OF BURNING MICTURITION, INCREASED FREQUENCY OF MICTURITION, DYSURIA NO COMPLAINTS OF DYSPAREUNIA, POST COITAL BLEEDING  LAST COITAL ACTIVITY 01/9/2023 NO COMPLAINTS OF COLD / HEAT INTOLERANCE, WEIGHT GAIN/LOSS NO COMPLAINTS OF HAIRFALL. NO COMPLAINTS OF BLOOD IN STOOLS, WORMS IN STOOLS. NO COMPLAINTS OF GENERALISED WEAKNESS, PALPITATIONS, SHORTNESS OF BREATH.  MENSTRUAL HISTORY LMP - 5/9/23 AOM - 14 YEARS 5/30, REGULAR, 1 PAD/DAY PAIN - , CLOTS + 1 x 1 CMS MARITAL HISTORY MARRIED LIFE - 7 YEARS NCM OBS HISTORY 1ST PREGNANCY - CONCEIVED SPONTANEOUSLY 1 YEAR AF