59 yr old female with epigastric pain, bleeding pr, and hypothyroidism
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. PATIENT HISTORY: Pt is a 59 yr old female, a school teacher by profession. At the age of 9-10 yrs, diagnosed with typhoid fever. For 2 days was not able to see through eyes. After recovery became right. At the age of 12, she suffered from jaundice, which resolved within a month. But since then c/o abd bloating, indigestion, vomiting (especially after eating food or drinking milk), alternate symptoms of diarrhea and constipation, and epigastric burning sensation which would resolve on its own. At age of 16-17 yrs (48kgs), she noticed whenever she drinks milk at night, at midnight she would vomit. Becom