CLINICAL
OF DUODENAL
Patient Tom, 37 years old. Male. Married. Admitted to the
hospital on 24th October 2013 evening at around 06.00 p.m with
acute severe pain in the epigastric region, heartburn, nausea,
and vomiting when the pain is severe.
Anamnesis Morbi – The pain in the epigastric region was started seven
years ago. Sought medical care in the clinic in the community, where it was
treated with Cimetidine (antihistamine) for an ulcer. Over the past 4 years
he noticed that he had repeated exacerbations in spring and autumn
period. But later on 24th night his epigastric pain in the epigastrium
increased and was admitted to the hospital in the same day evening at
around 6.00 p.m
Anamnesis Vitae – He did not have any history about any chronic
diseases. In childhood he had suffered from mumps. His family members
had not suffered from any chronic diseases. Allergic anamneses for any
drugs are negative. Non Smoker. Moderate alcohol intake as he says.
Person Assessment - During person assessment at the time of
hospitalisation he showed sub febrile fever of 37 C. Severe pain in the
epigastric region. Palpation of stomach was painful, the surface is flat ,
smooth , elastic consistency. Murphy's sign was absent. Stool was not
regular.