34 year old male with vomiting, hiccups and cough

December 04, 2022

34 year old male with vomiting, hiccups and cough

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Roll no 124

A 34 year old male patient lorry driver by occupation resident of chitiyala came to opd with chief complaints of Vomiting, Hiccups and Cough since 3 days

HOPI-

Patient was apparently asymptomatic 3 days back then he had vomiting 10 episodes per day which is sudden in onset,non bilious,non projectile,food and water as the contents.

Vomiting is present immediately after food,water and alcohol intake.After vomiting he was associated with generalized weakness for which he went to local hospital and was under normal saline 3 days back.

There is history of dark stools 3 days back lasted for 1 day, which is non blood stained.

Hiccups Since 3 days continuously and associated with mild difficulty in swallowing

Cough- dry since 3 days not associated with fever sore throat cold.

Similar complaints --3 months back he had vomiting and was diagnosed with jaundice

---10 years ago he met with an accident and was in coma for 2 days.

Past History-

Not a known case of Dm,Tb, epilepsy, asthma,HTN

No h/o previous surgery
No h/o any allergy

Personal History

Diet- mixed

Appetite- decreased

Bowel and bladder- regular

Sleep- regular

Addictions-

chronic alcoholic since 16years

Alcohol since 16 yrs daily ( minimum 90 ml per day ) 3 months back he has stopped Consuming alcohol as he was diagnosed with jaundice, but 5-10days back he again started consuming alcohol.

Increased consumption during night after dinner.

Also consume tobacco in the form of gutka ( betel quid ) . Starting he used to take 1 packets, now he is taking 10 packets daily.

Family history

Not significant

General physical examination-

Patient is conscious coherent cooperative well oriented to time place and person moderately built and nourished

Pallor -absent

Icterus- absent

Cyanosis- absent

Clubbing absent

Lymphadenopathy-absent

Edema-absent