General medicine

GM CASE 3 

March 5, 2023

Case scenario...
Hi ,I'm Sanjana MP , 3rd BDS student. This is an online elog book to discuss our patient health data after taking her consent. This also reflects my patient centered online learning portfolio. 

Case History 
An 60 years old women ,resident of Nalgonda.

Chief complaint :
Shortness of breath from 2days 
Cough associated with chest pain from 2 days
Swelling of leg till knees

History of present illness:
Patient is asymptomatic 2days back.
Shortness of breath - progressive, cough- dry, progressive associated with chest pain on left side 
Fever since 2days , low grade, continous 
2day back there was decreased urine output. Yesterday Micturition is normal.edema- pitting type , on and off type

History of past illness: 
Patient has no past history of DM, hypertension, TB,asthma,Coronary artery disease 

Family history:
No similar conditions 

Personal history:
Diet: mixed
Appetite: loss of appetite 
Bowel and bladder : normal
Sleep: normal 

General examination:
Pallor- no
Icterus- no
Cyanosis- no
Clubbing-no
Edema- yes

Q/A
1.Is this condition related to any infection?
2.Is edema permanently curable?

Popular posts from this blog

General medicine

GM CASE 2 February 27,2023 CASE SCENARIO..   I am Sanjana MP , 3rd BDS student. This is an online elog book to discuss our patients health data after taking his consent.  This also reflects my patients centered online learning portfolio.  CASE HISTORY  Patient details: A 57 years old male , occupation- farmer  Chief complaint: Fever from  10days  Less urine output from 10days Swellings hands and legs upto knee since 6months  History of present illness: Patient is asymptomatic 6months ago  -Urine - decreased output from 10days, burning sensation during urinating.  '-Fever -from 10days, low grade, intermittent associated with chills relieved on medication  -Swelling-since 6months,  upper and lower limbs , pitting edema uptill knee -no abdominal pain or chest pain History of past illness: Patient has hypertension since 5 years  Diabetes mellitus since 10 years  Patient got seizure attack once 2years back  Coronary a...
Read more

GM CASE

July 29th 2023 Case scenario.. Im Sanjana MP,3rd year bds student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patients centered online learning portfolio. Case history  A 57 years old man, who is a farmer by occupation. Chief complaint:  Patient was presented with altered sensorium since yesterday. Patient was apparently alright 3days back then he stopped using injection MIXTARD since 3days. Patient had history of irrelevant talk since yesterday but able to recognise people.  History of present illness:  Patient has low grade fever since yesterday ,intermittent in nature, relieved on medication.  Not associated with cold ,cough,vomiting, loose stools etc. No SOB, chest pain, palpitations,  edema or decreased urine output. History of past illness:  Patient came with similar complaints in February of 2022, then he was diagnosed with diabetic nephropathy. Patient had history of fever wit...
Read more

GM case

Image
July 24, 2023 Case scenario.. Im Sanjana MP, 3rd year bds student. This is an online elog book to discuss our patients health data after taking his consent. This  also reflects my patients centered online learning portfolio. Case history  A 65 years old man works as agricultural labour Cheif complaints: Abdominal pain,lower back pain and radiating to both the lower limbs,neck pain and stiffness since 1year  Patient was asymptomatic 1 year ago then he started having neck pain which is insidious in onset , progressive pain, radiating type of pain to both the upper limbs. Restricted neck movement ie difficulty in flexion and extension. Tingling sensation in both the upper limbs. History of present illness: Patientvwas apparently asymptomatic 1year back .4 years back patient has history of trauma to right hip so he undergone hemiarthoplasty , after that there was no problem for 3years , 1year back again he developed lower backpain which is of dragging type of pain in both low...
Read more