17 year old female with mucosal hyperpigmentation,loose stools,vomiting,
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CASE:
17 year old female complaints of vomitings and loose stools since 1week ,hyperpigmentation on buccal mucosa,hypothyroidism
CHIEF COMPLAINTS:
Vomitings since 1week
Loose stools since 1week
Fever since 3 days
HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic One week back,then she too outside junk food followed by which she developed loose stools and vomitings
Loose stools:- 4-5episodes, water in consistency, non foul smelling, no blood tinged
Vomitings:- 4-5 episodes, non projectile, non bilious,non foul smelling contents include food particles,Which subsided on taking medication,
Fever was incidious in onset, associated with chills and rigor,which revealed by taking medication
Patient's mother observed swelling over the neck 10 years ago and was diagnosed with HYPOTHYROIDISM and is taking TAB.THYROXINE 25mcg....
Patient has history of eating slate pencils since 4 years.(5-6 slate pencils per day)
History of itching 3 years ago and was taken to hospital which relieved by taking medication.
Patient is observing irregular menses from last 3months ,associated with dysmenorrhea and clots
Patient also complained of generalised weakness since 1week.
HISTORY OF PAST ILLNESS:
Known case of HYPOTHYROIDISM since 10years on TAB.THYROXINE 25mcg..
Not a known case of HYPERTENSION,DIABETES MELLITUS,ASTHMA, EPILEPSY.
PERSONAL HISTORY:
DIET:Mixed
APPETITE:Normal
SLEEP: Adequate
BOWEL AND BLADDER MOVEMENTS: Regular
Pallor:
Pigmentation seen on knuckes:
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