A65 year old female patients came to causality with chief complaint of stomach while taking food

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. 
CHEIF COMPLAINT  : A 65yr old female patient  complaints of stomach  pain on taking food since 1month
HISTORY  OF PRESENT ILLNESS  :A 65yr old female patient  who is aaganwadi worker by occupation was apparently  asymptomatic  1month ago then she noticed stomach pain  on taking food and relived on vomiting  and medication. 
HISTORY OF PAST ILLNESS  :
H/o hypertension since 20 yrs ( on medication )
No h/o asthma ,diabetes ,epilepsy, thyroid  
H/o similar complaint 5yrs back
FAMILY HISTORY  : no relevant family history 
PERSONAL HISTORY  : 
Married 
Diet : mixed
Appetite : decreased 
Sleep: adequate 
Bowel $ bladder movements  : irregular 
Micturation: normal
Menstrual history  : menopause 
GENERAL EXAMINATION: 
Patient  is conscious coherent  cooperative and well oriented to time place and person 
No cyanosis clubbing edema lympadenopathy 
H/o pallor 
VITALS  :
Temp " afebrile
BP: 110/70
RR: 15 
PR: 68
SYSTEMIC EXAMINATION :
CVS  : no cardiac murmrurs
No thrills
S1s2 cardiac sounds heard 
RS : No wheeze, no dysponea 
Position of trachea : central 
Abdomen  :
Shape : scaphoid
No tenderness 
CNS : Conscious
No neck stiffness 
Speech normal


ECG
ULTRASOUND

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