prefinal examination paper-2
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A 48 yr old male came to the opd on 25/12/22 with the chief complaints of abdominal pain since 5 days and constipation since 5days . HOPI : patient was apparently asymptomatic 5 days back then he developed abdominal pain which was insidious in onset and gradual in progression. Pain is in the left quadrant . Pain is subsided in a day. History of constipation since 5 days because of which abdominal distension is present . Patient passed stools after giving enema and abdominal distension also decreased after giving. Initially patient has decreased urine out put but now Patient complaints of increase in frequency and the urgency of urine for which solifenacin is given . 5 months back patient had complaints of abdominal pain , fever and vomiting for which he went to the local hospital and symptoms decreased. 1 1/2 year back patient has chest pain for which he went to hospital and diagnosed as coronary artery disease for which stent placement is done . After this surgery patient compl