28 year old Meenakshi


This is an online E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. 

Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 

This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

 28 year old woman presented to casualty with

Pain abdomen since 3 days

Vomiting since 3 days

Fever since 1 day


A 28 year old woman, mother of 3 children, tubectomised 8 years back presented with these complaints at 9pm on 18/6/2021. On further questioning, she reveals that she has been feeling low even during happy events as her husband has been having an extra marital affair.

She also has attempted self harm multiple times. She has been living with her husband but 4 days back her father in law had expired, since then she hasn't been in contact with her husband.

 She was admitted with similar complaints in 2019. She has been paying recurrent hospital visits for headache since the past 3 years. She has been diagnosed with depression on 7/6/21 and has been started on Tab Nexito plus and Lonazep 0.25mg sos

On presentation to us, she complained of diffuse pain abdomen which wasn't relieved on medications or on sitting posture. Along with 10 episodes  episodes of non bilious, non projectile vomiting containing food content per day.

On examination in the casualty, she was conscious, coherent and crying to touch 

PR was 89 bpm

Bp was 120/80mmhg

Afebrile

Cvs - S1,s2+

Lungs clear on auscultation 

Abdomen - soft

Diffuse tenderness 18/6/2021 


Started her on Tab Nexito plus along with Tab lonazep sos

28 year old woman, mother of 3 children

Admitted on Thursday with the complaints of pain abdomen and vomiting since 3 days and a history of recurrent hospital visits complaining of headache and pain abdomen since the past  3 years.


On further questioning the patient tells that her husband has been having an extra marital affair and she gives a history of multiple suicide attempts in 2011 and 2013.

Was diagnosed to with depression and has been on nexito and lonazep.


Psychiatrists diagnosed her with moderate depression with somatic symptoms 


S - complaining of 4 episodes of vomting last night and weakness

O - 

PR - 80bpm

Bp - 120/80mmhg

Cvs - S1,S2 +

Lungs - clear on auscultation 

Abdomen - soft

Diffuse tenderness +


A - ? Acute Gastritis

Moderate depression with somatic symptoms 


P - started her on Tab Nexito plus ( Escitalopram) once at night


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