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35 F with pain abdomen

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  35 year old with pain abdomen Top of Form CHIEF COMPLAINTS :   35 year old female who is a wig maker and goes to part time work in paddy and cotton field’s presented to the Emergency department with acute history of pain abdomen & vomiting’s since 4 days     INTRODUCTION INTO BIOPSYCHOSOCIAL ASPECTS OF THE CASE:   Activities of daily leaving before illness:   Patient was apparently asymptomatic 7 years (2016) back where here daily routine before illness was waking up at 4 am after cleaning house and fresh-up herself, prepare food for the family. She used to have IDLI, DOSA, RAAGI JAVA as her breakfast and take rest for few minutes and enjoys working for family household needs like cooking, laundry, cleaning home etc. she prepare dinner and get to sleep by 10pm.   History of presenting illness:   Down the line 7 years back in 2016 while she was going in auto she was having conversation with driver (cousin) and met with an road traffic accident where