Final short case
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT February 1 2022 ( date of admission) A 13 year old female came to OPD with complaints of abdominal pain since 2 days associated with two episodes of vomitings HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 2 days ago then she developed epigastric pain which is severe and radiating ,gradually progressive, 2 episodes of vomiting since 2 days with food as content . PAST HISTORY - K/C/O sickle cell anaemia since 2012 History of bronchopneumonia History of sickle cell crisis 2016 Hitory of pancreatitis 2019 Last blood transfusion 2020 PERSONAL HISTORY : DIET - MIXED, APPETITE -NORMAL , BO