General medicine

Gm case 4 

March 6, 2023

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

Case history 
Patient details 
A 75 years old female ,resident of Nalgonda.

Cheif complaint: 
Fever from 4days 
Cough and vomiting 

History of present illness:
She is suffering from fever from 4days , low grade , intermittent type.
Abdominal pain
Decreased urine output with buring sensation during urinating. 
Cough - this sputum ,normal colour.
Vomiting- after meals with food particles
 
History of past illness:
Asthma - since 10 years
No- hypertension,  diabetes ,TB ,Coronary artery disease.

Family history : 
Not significant 

Personal history :
Diet - mixed
Appetite- less appetite 
Sleep- improper sleep
Bowel- irregular 
Micturition- Decreased urine output 

General examination :
Pallor- no
Icterus- no
Clubbing- no
Lymphadenopathy-no
Edema - no

Vitals :
Temperature-98.6°c
SpO2- 98%
Blood pressure- 150/90mm hg 

Medication of patient:


Q/A
1.Is burning Micturition is cause of any infection?

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